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[Cystectomy for indications other than bladder cancer]
S Hautmann1, K-H Felix-Chun, E Currlin
1Urologische Klinik und Poliklinik, Universitätsklinikum Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. hautmann@uke.uni-hamburg.de
Der Urologe. Ausg. A
|March 3, 2004
Summary
Cystectomy for non-bladder cancer indications, often combined with other specialties, shows comparable perioperative and postoperative complications to bladder cancer cystectomy. A higher ileus rate was observed in non-urothelial cases due to more radical procedures.
Area of Science:
- Urology
- Surgical Oncology
- Oncology
Background:
- Cystectomy is frequently performed for non-urothelial bladder conditions, requiring combined surgical approaches.
- These procedures necessitate integrating urological techniques with oncological and surgical concepts from other specialties like general surgery and gynecology.
Purpose of the Study:
- To evaluate perioperative and postoperative complications in patients undergoing cystectomy for non-urothelial indications.
- To compare complication rates between cystectomy for non-urothelial conditions and cystectomy for transitional cell carcinoma of the bladder.
Main Methods:
- A retrospective analysis of 204 cystectomies performed between 1995 and 2003.
- Comparison of complication data between 42 patients with non-urothelial indications and 162 patients with bladder cancer.
Main Results:
- The 42 non-urothelial cases included advanced rectal, cervical, sigmoid, and prostate cancers, fistulae, and rare tumors.
- Complication rates were comparable, with a significantly higher ileus rate (p=0.033) in the non-urothelial group.
- No perioperative mortality was observed in the non-urothelial group.
Conclusions:
- Cystectomy for non-urothelial indications, despite requiring combined surgical expertise, presents comparable complications to those for bladder cancer.
- The increased ileus rate in non-urothelial cases may be attributed to more extensive surgical procedures.
- Standardization of these combined procedures is evident, though larger studies are needed for further insights.