Cancer of the urinary bladder and pyelonephritis

Area of Science:

• Urology
• Oncology
• Surgical Reconstruction

Background:

• Urinary bladder cancer treatment necessitates managing complications beyond tumor removal.
• Pyelonephritis is a significant complication following urinary bladder cancer therapy, often linked to post-surgical functional disturbances.
• Hemicystectomy can alter bladder shape, impairing function and increasing pyelonephritis risk.

Purpose of the Study:

• To introduce a novel bladder reconstruction technique following hemicystectomy.
• To preserve the anatomo-physiological function of the urinary bladder post-surgery.
• To prevent pyelonephritis development after bladder cancer treatment.

Main Methods:

• A surgical method for reconstructing the urinary bladder into a spherical shape after hemicystectomy is proposed.
• Focus on maintaining normal bladder form and function.

Main Results:

• The spherical bladder reconstruction aims to ensure near-normal urination and urinary flow from upper urinary pathways.
• This technique serves as a preventative measure against pyelonephritis.

Conclusions:

• Spherical reconstruction of the urinary bladder after hemicystectomy is a viable strategy for preserving function.
• This method effectively prevents pyelonephritis, a common complication in bladder cancer patients.