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Long-term complications of urinary diversion
1aUro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran bNorris Comprehensive Cancer Center, Institute of Urology, University of Southern California, Los Angeles, California, USA.
Current Opinion in Urology
|September 16, 2015
Summary
Radical cystectomy with urinary diversion improves survival for bladder cancer but can lead to long-term issues. Regular follow-up is crucial for managing these potential complications after surgery.
Area of Science:
- Urology
- Surgical Oncology
- Nephrology
Background:
- Radical cystectomy and urinary diversion are standard treatments for advanced bladder cancer.
- Increased patient survival necessitates understanding long-term post-surgical complications.
Purpose of the Study:
- To review and describe the spectrum of long-term complications associated with urinary diversion.
- To highlight the importance of ongoing patient monitoring after urinary diversion surgery.
Main Methods:
- Literature review of studies on long-term complications following radical cystectomy and urinary diversion.
Main Results:
- Complication rates can be as high as 60% in long-term follow-up.
- Stoma-related issues and urinary tract infections are the most frequent complications.
- Complications can manifest years after the initial surgery, underscoring the need for sustained surveillance.
Conclusions:
- Long-term, regular follow-up is essential for patients who have undergone urinary diversion.
- Proactive management is required to address nonfatal complications that may arise years post-surgery.
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