Radical Cystectomy in Female Patients - Improving Outcomes

Overview

Journal Curr Urol Rep

Publisher Current Science

Specialty Urology

Date 2019 Nov 30

PMID 31781877

Citations 1

Authors

Nikolaos Kalampokis

Nikolaos Grivas

Markus Olschlager

Fahmy Nabil Hassan

Georgios Gakis

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: To review the methods of improving surgical, oncological, and functional outcomes in women with bladder cancer treated with radical cystectomy.

Recent Findings: Οrthotopic urinary diversion (ONB) is a safe option for well-selected women as it combines high rates of daytime and nighttime continence with exceptional oncologic outcomes. It is considered safe even for patients with limited lymph node disease and trigone involvement, as long as a preoperative biopsy of the bladder neck or an intraoperative frozen section analysis of distal urethral margin rules out malignant disease. Nerve-sparing techniques have shown promising results. For well-selected patients with early invasive disease, sparing of internal genitalia has proven to be oncologically safe. Yet, generally accepted and evidence-based oncological and functional follow-up schemes for women after radical cystectomy are still lacking. Properly designed prospective studies are needed with adequate number of participants in order to safely conclude about a broader use of pelvic organ-sparing cystectomy.

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