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Updated: Jul 23, 2026
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Published on: July 15, 2015
[Implementation of Enhanced Recovery after Surgery (ERAS®) protocol in radical cystectomy at the University Medical
N D Fischer1, S Epple2, E Wittenmeier3
1Klinik und Poliklinik für Urologie und Kinderurologie der Universitätsmedizin, Johannes-Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland. nikita.fischer@unimedizin-mainz.de.
Background:
In surgical fields there has been a perceivable paradigm shift during the last decade concerning patient pre- and rehabilitation. Current literature suggests close interdisciplinary collaboration after complex procedures such as radical cystectomy in order to optimize perioperative patient care for the benefit of "fast-track" surgery.
Objectives:
To compose a catalogue of standardized measures after radical cystectomy based on guidelines set by the ERAS®-Society.
Results:
The protocol commences with preoperative education in order to improve the physical and psychological condition of the patient. Crucial aspects in peri- and postoperative patient care are gentle surgical technique, adequate pain management, early mobilization and oral food intake, early removal of drains and foreign material and a seamless return to normal, daily life.
Conclusions:
Prospective data analysis will be the next step in order to establish the effectiveness of the protocol especially regarding postoperative complications and median duration of hospital stay.
