Improving selection of appropriate urinary diversion following radical cystectomy for bladder cancer. Issue 6 (June 2011)

• Record Type: Journal Article
• Authors: Daneshmand, Siamak; Bartsch, Georg
• Is Part Of: Expert review of anticancer therapy. Volume 11:Issue 6(2011)
• Page Start: 941
• Page End: 948
• Publication Date: 2011-06
• Subjects: continent cutaneous diversion -- ileal conduit -- orthotopic ileal neobladder -- radical cystectomy -- quality of life -- urinary diversion; Cancer -- Treatment -- Periodicals; 616.99406
• DOI: 10.1586/era.11.19
• Languages: English
• ISSNs: 1473-7140

Abstract

Radical cystectomy represents the gold-standard of treatment for invasive bladder cancer. Following cystectomy, various options for urinary diversion may be offered to patients. This article represents an overview of the history of urinary diversion, explains the current selection criteria used at one of the most experienced bladder cancer centers worldwide, and provides an update on the current understanding of continence mechanisms. Furthermore, we review the current literature on quality of life for patients with different forms of urinary diversion. Excellent functional results can be achieved with continent forms of urinary diversion. It is important to consider the relative and absolute contraindications when choosing any form of urinary diversion. Proper patient selection and thorough standardized preoperative counseling is critical in achieving optimal results.