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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
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Orthotopic urinary diversion in the elderly
Cory M Hugen1, Siamak Daneshmand2,3
1Institute of Urology, Norris Comprehensive Cancer Center, University of Southern California, 1441 Eastlake Ave Suite 7416, Los Angeles, CA, 90033, USA.
World Journal of Urology
|September 28, 2015
Summary
Elderly patients undergoing radical cystectomy can safely receive an orthotopic neobladder. This urinary diversion offers similar outcomes and quality of life compared to younger patients when properly selected.
Area of Science:
- Urology
- Oncology
- Geriatrics
Background:
- Age is a significant risk factor for bladder cancer, impacting stage and treatment outcomes.
- Elderly patients often receive incontinent urinary diversions after radical cystectomy.
Purpose of the Study:
- To assess the evidence for performing orthotopic neobladder in elderly patients.
- To review outcomes, complications, selection criteria, and quality of life in this demographic.
Main Methods:
- Literature review of studies on elderly patients undergoing orthotopic neobladder after radical cystectomy.
- Analysis of reported outcomes, complications, patient selection, and quality-of-life data.
Main Results:
- Age increases complication risk, but rates are similar between orthotopic neobladder and ileal conduit within age groups.
- Well-selected elderly patients achieve comparable outcomes and quality of life to younger counterparts.
Conclusions:
- Orthotopic neobladder is a suitable option for carefully selected elderly patients post-radical cystectomy.
- This approach can provide equivalent oncological and functional results in the elderly.
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