Open AccessOrthotopic urinary diversions after radical cystectomy for bladder cancer: lessons learned last decade
Author(s) -
Guus W.B. Janssen,
Rathika Ramkumar,
Byron Lee,
Antoine G. van der Heijden
Publication year - 2021
Publication title -
current opinion in urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.799
H-Index - 60
eISSN - 1473-6586
pISSN - 0963-0643
DOI - 10.1097/mou.0000000000000909
Subject(s) - medicine , cystectomy , urinary diversion , perioperative , bladder cancer , urinary continence , quality of life (healthcare) , robotic surgery , surgery , general surgery , cancer , nursing , prostate cancer , prostatectomy
Orthotopic urinary diversion (OUD), or neobladder, is believed to be the gold standard for surgical bladder reconstruction following radical cystectomy though it is performed far less often than ileal conduits. As both a continent and intracavitary diversion, OUDs offer unique advantages for patients. Their utilization has decreased overall though, especially with the advent of robotic surgery. In this review, we will cover patient selection for OUD, functional outcomes (i.e., continence, sexual activity, quality of life [QoL]), and robotic orthotopic diversions.