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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
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Orthotopic Urinary Diversion for Women
Dimitar V Zlatev1, Eila C Skinner1
1Department of Urology, Stanford University School of Medicine, Stanford University Hospital and Clinics, 300 Pasteur Drive, Room S287, Stanford, CA 94304, USA.
The Urologic Clinics of North America
|November 25, 2017
Summary
Orthotopic neobladder reconstruction offers excellent cancer control for women after cystectomy. Careful patient selection and surgical technique are key for optimal functional outcomes, including continence and sexual function.
Area of Science:
- Urology
- Surgical Oncology
- Reconstructive Surgery
Background:
- Bladder cancer treatment often requires cystectomy.
- Urinary diversion is necessary after cystectomy.
- Orthotopic neobladder offers an alternative to traditional diversions.
Purpose of the Study:
- To evaluate the oncologic and functional outcomes of orthotopic neobladder in women.
- To identify factors influencing successful outcomes.
Main Methods:
- Retrospective analysis of women undergoing cystectomy with orthotopic neobladder.
- Assessment of oncologic recurrence and functional results.
Main Results:
- Excellent oncologic outcomes with low urethral recurrence rates.
- Positive functional results regarding continence and sexual function.
- Vaginal fistula and urinary retention were infrequent.
Conclusions:
- Orthotopic neobladder is a safe and effective urinary diversion for women with bladder cancer.
- Patient selection and surgical expertise are crucial for success.
- This approach can preserve quality of life post-cystectomy.
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