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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
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Published on: August 9, 2012

Bladder Reconstruction and Diversion during Colorectal Surgery.

Scott E Delacroix1, J C Winters

  • 1Department of Urology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.

Clinics in Colon and Rectal Surgery
|June 2, 2011
PubMed
Summary
This summary is machine-generated.

Advanced colorectal cancer surgery may require pelvic resections. Bladder preservation or total pelvic exenteration depends on cancer extent and patient factors, guiding reconstruction or urinary diversion strategies.

Keywords:
Bladder replacementexenterationreconstructionrectal cancer

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Published on: December 20, 2014

Area of Science:

  • Oncology
  • Surgical Oncology
  • Urology

Background:

  • Advanced colorectal cancers can necessitate extensive pelvic surgeries, including multivisceral resections.
  • Achieving negative surgical margins is crucial for therapeutic effect in patients without distant metastases.

Purpose of the Study:

  • To describe bladder-sparing techniques and urinary diversion options for advanced colorectal cancer.
  • To discuss clinical decision-making for bladder reconstruction versus replacement after pelvic exenteration.

Main Methods:

  • Review of bladder-sparing surgical techniques, including those with enterocystoplasty.
  • Discussion of urinary diversion methods for patients undergoing total pelvic exenteration.
  • Analysis of contraindications and decision-making criteria for bladder reconstruction.

Main Results:

  • Bladder involvement in advanced colorectal cancer requires careful consideration of surgical approach.
  • Bladder-sparing options and enterocystoplasty offer alternatives to total pelvic exenteration in select cases.
  • Various urinary diversion techniques are available for patients requiring exenteration.

Conclusions:

  • Surgical management of advanced colorectal cancer with bladder involvement hinges on lesion extent and patient characteristics.
  • Bladder reconstruction or replacement strategies should be individualized based on surgical goals and patient factors.
  • Optimizing surgical margins and functional outcomes guides the choice between bladder preservation and exenteration with reconstruction.