[Oncological pelvic surgery under urological aspects: bladder carcinoma]
1Urologische Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München, Ismaninger Straße 22, 81675, München, Deutschland. h.kuebler@lrz.tum.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 17, 2010
Summary
Radical cystectomy offers a safe oncological treatment for invasive bladder cancer, balancing cancer control with a good quality of life. This procedure provides excellent survival rates and local tumor control, even for advanced stages.
Area of Science:
- Urology
- Surgical Oncology
- Oncology
Context:
- Invasive bladder cancer requires effective treatment balancing oncological outcomes and patient quality of life.
- Radical cystectomy is a primary treatment for various bladder cancer stages, including high-grade T1, muscle-invasive, and BCG-refractory cases.
Purpose:
- To evaluate the efficacy of radical cystectomy and urinary diversion in treating invasive bladder cancer.
- To assess oncological safety, survival rates, and quality of life outcomes following radical cystectomy.
Summary:
- Radical cystectomy provides excellent recurrence-free and cancer-specific survival rates, with good local tumor control for organ-confined and node-negative diseases.
- Even in non-organ-confined tumors, radical cystectomy achieves satisfactory tumor control with approximately 50% long-term recurrence-free survival.
- Nerve-sparing techniques and orthotopic neobladder urinary reconstruction preserve lower urinary tract function and sexual health, contributing to a good overall quality of life.
Impact:
- Radical cystectomy is a cornerstone treatment for invasive bladder cancer, offering significant survival benefits.
- The procedure supports a good quality of life for most patients, irrespective of the chosen urinary diversion method.
- Nerve-sparing approaches enhance functional outcomes, improving patient satisfaction and well-being post-surgery.
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