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Complications and quality of life following urinary diversion after cystectomy

Gerharz, E W; Roosen, A and Månsson, Wiking LU (2005) In EAU Update Series 3(3). p.156-168
Abstract
bjective:



The aim of this review is to outline specific surgical complications, metabolic consequences and quality of life (QOL) following urinary diversion in patients undergoing radical cystectomy.

Methods:



Based on a comprehensive literature search (MEDLINE) the published knowledge on urinary diversion was examined regarding the research question with an emphasis on contemporary cystectomy series.

Results:



Despite the fact, that urinary diversion is commonplace in these days and the existing literature is rather extensive, the vast majority of assumptions are based on low level evidence (retrospective, single-institutional case series with small sample sizes and... (More)
bjective:



The aim of this review is to outline specific surgical complications, metabolic consequences and quality of life (QOL) following urinary diversion in patients undergoing radical cystectomy.

Methods:



Based on a comprehensive literature search (MEDLINE) the published knowledge on urinary diversion was examined regarding the research question with an emphasis on contemporary cystectomy series.

Results:



Despite the fact, that urinary diversion is commonplace in these days and the existing literature is rather extensive, the vast majority of assumptions are based on low level evidence (retrospective, single-institutional case series with small sample sizes and short-term followup). There are few randomized trials in this field.



Early and late surgical complications following radical cystectomy have decreased over the past three decades for both incontinent and continent diversion, but are still significant. While metabolic disturbances are common after continent forms of urinary diversion, the problems can be minimized in most cases. Most reports testify that QOL is high after cystectomy irrespective of type of urinary diversion although urinary and sexual problems are common.

Conclusion:



Careful patient selection, strict adherence to proper surgical technique and appropriate life-long follow-up are of paramount importance in the successful management of patients undergoing radical cystectomy for bladder cancer. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Radical cystectomy, Urinary diversion, Urinary reservoirs, continent, Complications, Metabolic consequences, Quality of life
in
EAU Update Series
volume
3
issue
3
pages
156 - 168
publisher
Elsevier
external identifiers
  • scopus:24644459384
ISSN
1570-9124
DOI
10.1016/j.euus.2005.07.002
language
English
LU publication?
yes
id
5f5e4854-4da8-4bae-bf7a-83197722d6e2 (old id 1132701)
date added to LUP
2008-06-23 15:31:38
date last changed
2017-02-22 11:44:23
@article{5f5e4854-4da8-4bae-bf7a-83197722d6e2,
  abstract     = {bjective:<br/><br>
<br/><br>
The aim of this review is to outline specific surgical complications, metabolic consequences and quality of life (QOL) following urinary diversion in patients undergoing radical cystectomy.<br/><br>
Methods:<br/><br>
<br/><br>
Based on a comprehensive literature search (MEDLINE) the published knowledge on urinary diversion was examined regarding the research question with an emphasis on contemporary cystectomy series.<br/><br>
Results:<br/><br>
<br/><br>
Despite the fact, that urinary diversion is commonplace in these days and the existing literature is rather extensive, the vast majority of assumptions are based on low level evidence (retrospective, single-institutional case series with small sample sizes and short-term followup). There are few randomized trials in this field.<br/><br>
<br/><br>
Early and late surgical complications following radical cystectomy have decreased over the past three decades for both incontinent and continent diversion, but are still significant. While metabolic disturbances are common after continent forms of urinary diversion, the problems can be minimized in most cases. Most reports testify that QOL is high after cystectomy irrespective of type of urinary diversion although urinary and sexual problems are common.<br/><br>
Conclusion:<br/><br>
<br/><br>
Careful patient selection, strict adherence to proper surgical technique and appropriate life-long follow-up are of paramount importance in the successful management of patients undergoing radical cystectomy for bladder cancer.},
  author       = {Gerharz, E W and Roosen, A and Månsson, Wiking},
  issn         = {1570-9124},
  keyword      = {Radical cystectomy,Urinary diversion,Urinary reservoirs,continent,Complications,Metabolic consequences,Quality of life},
  language     = {eng},
  number       = {3},
  pages        = {156--168},
  publisher    = {Elsevier},
  series       = {EAU Update Series},
  title        = {Complications and quality of life following urinary diversion after cystectomy},
  url          = {http://dx.doi.org/10.1016/j.euus.2005.07.002},
  volume       = {3},
  year         = {2005},
}