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UROLOGY
Case #3 -
A 68 year old with intermittent hematuria and dysuria

DISCUSSION QUESTIONS:
6.) What surgery is required?

Surgical management:
  1. Superficial tumors not invading muscle layer: endoscopic resection and fulguration
  2. Tumor invading muscle but confined to bladder: radical cystoprostatectomy in men and anterior pelvic exenteration in women with diversion of the urine to a bowel segment  
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