{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T14:45:29Z","timestamp":1788014729160,"version":"build-2784847793"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":36,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Transplantation"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Kidney transplant recipients are at increased risk of malignancy due to chronic immunosuppression. Although rare (\u22480.3%), bladder cancer in this population tends to be aggressive and may present with atypical symptoms. We report a case of muscle\u2010invasive bladder cancer in a patient with prior simultaneous pancreas\u2013kidney transplantation, successfully managed by fully intracorporeal robot\u2010assisted radical cystoprostatectomy and urinary diversion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation<\/jats:title>\n                    <jats:p>A 46\u2010year\u2010old male with a history of a simultaneous pancreas and kidney transplantation presented with persistent storage lower urinary tract symptoms. Cystoscopy revealed a necrotic, atypical lesion with associated inflammatory changes. Preoperative CT urography showed thickening of the bladder dome, with peripheral enhancement and a calcified component. The patient underwent robot\u2010assisted radical cystoprostatectomy with intracorporeal ileal conduit involving the transplanted kidney.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Discussion<\/jats:title>\n                    <jats:p>This rare case highlights the importance of thorough urological evaluation in transplant recipients presenting with atypical urinary symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case demonstrates the feasibility and safety of fully intracorporeal robot\u2010assisted cystoprostatectomy with urinary diversion in a patient with a simultaneous pancreas\u2013kidney transplant.<\/jats:p>\n                  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