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Cystectomy in women
Author(s) -
Schilling David,
Horstmann Marcus,
Nagele Udo,
Sievert KarlDietrich,
Stenzl Arnulf
Publication year - 2008
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2008.07972.x
Subject(s) - medicine , neurovascular bundle , cystectomy , urethra , surgery , cadaveric spasm , anatomy , bladder cancer , cancer
The technique for radical cystectomy in women is described, with special consideration given to the pelvic anatomy, and the urethra‐ and nerve‐sparing approach in female patients. Advances in understanding female pelvic anatomy, following detailed animal, cadaveric and clinical studies, merged to give a better intraoperative identification of the sphincteric apparatus and neurovascular structures. Respecting the oncological premises, cystectomy in female patients can be done with a nerve‐sparing technique. In rare cases the entire inner genitalia, including the anterior vaginal wall, can be preserved, which might lead to improved functional results with greater patient satisfaction. However, the oncological result should never be endangered by organ preservation.