Genital Organs-Sparing Radical Cystectomy in Female Patients with Muscle Invasive Urothelial Carcinoma of the Bladder

Salem, Hosni

doi:10.5772/67759

Cited by 1 publication

(1 citation statement)

References 33 publications

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“…Increasing effort has been undertaken to study a vaginal-sparing approach to RC in females who wish to maintain sexual function. This portion of the operation varies from the standard approach in that the space between the bladder neck and vagina is operated on without injuring the vaginal vault [25]. Retrospective studies have been performed showing that vaginal-sparing RC has equivalent oncologic outcomes and improved sexual function, quality of life, and psychological outcomes.…”

Section: Bladder Removalmentioning

confidence: 99%

Evidence-Based Analysis of the Critical Steps of Radical Cystectomy for Bladder Cancer

D’Andrea,

Melnick,

Yim

et al. 2023

JCM

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Radical cystectomy (RC) is an integral part of the management of patients with advanced-stage bladder cancer. This major oncologic operation is prone to complications resulting in morbidity and mortality. We analyzed the critical steps of open RC, performed an evidence-based review of these steps, and discussed our experience and approach. We conducted a literature review of the open RC technique, identified the critical steps that consistently appeared across different sources, and organized these steps into a framework. PubMed was queried with the critical steps as keywords for relevant articles published from 1 January 2013 to 1 August 2023. We utilized this query to conduct a systematic review of the literature using the outcomes of overall survival and 90-day complication rate. We developed the “Summary for the 10 Critical Operative Steps of Radical Cystectomy”, a concise guide to the approach to open RC. When available, an evidence-based analysis of each critical step was performed. We also included additional components of cystectomy optimization such as pre-habilitation in the preoperative phase, standard versus extended lymphadenectomy, the vaginal-sparing approach to female radical cystectomy, patient-reported outcomes following urinary diversion, the use of a mesh for stoma formation, and the use of the ERAS protocol for postoperative care. An evidence-based assessment of RC may help provide valuable information to optimize surgical techniques and patient outcomes.

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Section: Bladder Removalmentioning

confidence: 99%