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Updated: May 28, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Complications associated with urinary diversion.

Richard E Hautmann1, Stefan H Hautmann, Oliver Hautmann

  • 1University of Ulm, Boschstrasse 4a, D-89231 Neu-Ulm, Germany. richard.hautmann@uni-ulm.de

Nature Reviews. Urology
|November 3, 2011
PubMed
Summary
This summary is machine-generated.

Radical cystectomy (RC) complications are significant and require standardized reporting. Long-term studies are needed to fully understand surgical morbidity and outcomes following RC procedures.

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Area of Science:

  • Urology
  • Surgical Oncology
  • Medical Complications

Background:

  • Radical cystectomy (RC) is a complex urologic procedure.
  • Urinary diversion methods lack comparative randomized trials.
  • Inconsistent complication reporting hinders outcome assessment.

Purpose of the Study:

  • To review outcomes of radical cystectomy with urinary diversion.
  • To highlight the need for standardized complication reporting.
  • To discuss surgical morbidity and long-term outcomes.

Main Methods:

  • Literature review of studies on radical cystectomy and urinary diversion.
  • Analysis of surgical complication reporting quality.
  • Evaluation of the Clavien system for complication grading.

Main Results:

  • No randomized trials compare urinary diversion techniques (e.g., noncontinent conduit, neobladder, continent cutaneous diversion).
  • Surgical morbidity following RC is substantial, especially with standardized reporting.
  • Complications can manifest up to 20 years post-surgery, necessitating long-term follow-up.

Conclusions:

  • Standardized complication reporting (e.g., Clavien system) is crucial for comparing radical cystectomy outcomes.
  • Long-term studies are essential to define the full spectrum of surgical morbidity.
  • High-volume centers and surgeons are recommended for optimal care, particularly for elderly patients.