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Urinary diversion after cystectomy: An Indian perspective.
Deepak Jain1, S K Raghunath, Samir Khanna
1Department of Urology, Rajiv Gandhi Cancer Institute and Research Centre, Sector- V, Delhi - 110 085, India.
Summary
Radical cystectomy for bladder cancer involves urinary diversion, evolving over 150 years. Recent advancements focus on techniques like orthotopic neobladder, improving patient outcomes.
Area of Science:
- Urology
- Oncology
Background:
- Radical cystectomy is the standard treatment for muscle-invasive bladder cancer.
- Urinary diversion is a necessary component following radical cystectomy.
- Significant advancements in urinary diversion techniques have occurred over the last two decades.
Purpose of the Study:
- To review current urinary diversion approaches used in Indian centers.
- To analyze the evolution of urinary diversion from conduit to orthotopic neobladder at our institution.
Main Methods:
- Review of current practices in various Indian centers.
- Analysis of historical data and outcomes of urinary diversion at our center.
Main Results:
- Urinary diversion methods have evolved significantly over 150 years.
- Recent advancements have led to more sophisticated techniques like orthotopic neobladder.
- Current practices in India reflect this evolution, with varied approaches being utilized.
Conclusions:
- The field of urinary diversion is rapidly advancing.
- Understanding the evolution and current trends is crucial for optimizing patient care after radical cystectomy.
- Continued analysis of outcomes will guide future practice in bladder cancer management.
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