2004
DOI: 10.1590/s1677-55382004000200009
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Abstract: The development of infiltrative bladder carcinoma in patients previously treated with radical prostatectomy due to prostate adenocarcinoma represents a challenging perspective. Radical cystectomy remains the best option for invasive bladder cancer, however, there are few reports about the best approach to such individuals. Nevertheless, despite possible technical difficulties found during surgery, the orthotopic urinary shunt is a reasonable option in selected cases.

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“…RC after prostate surgery may be challenging due to adhesions which obliterate the anatomic cleavage planes, and there is an increased risk of damage to the rectum and to the continence mechanism at the level of the pelvic floor. Therefore the form of urinary diversion is still debated, and in the literature there are only 29 reported cases of ileal orthotopic bladder substitution after RRP with available data for functional results [1,2,3,4] (table 2). …”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…RC after prostate surgery may be challenging due to adhesions which obliterate the anatomic cleavage planes, and there is an increased risk of damage to the rectum and to the continence mechanism at the level of the pelvic floor. Therefore the form of urinary diversion is still debated, and in the literature there are only 29 reported cases of ileal orthotopic bladder substitution after RRP with available data for functional results [1,2,3,4] (table 2). …”
Section: Discussionmentioning
confidence: 99%
“…Radical cystectomy (RC) in this subgroup is a challenging procedure, since the changes induced by the previous removal of the prostate potentially increase the risk of damage to the pelvic structures and of suboptimal functional results concerning urinary continence and sexual potency. Therefore, the choice of urinary diversion in these cases is still controversial, and ileal orthotopic bladder substitution has been performed in a very limited number of cases [1,2,3,4]. …”
Section: Introductionmentioning
confidence: 99%