Open AccessOrthotopic urinary diversion after radical cystectomy in treatment of muscle invasive bladder cancer
Author(s) -
Jovan Hadži-Djokić,
Vladan Andrejević,
T. Pejcic,
M. Acimovic,
Uroš Babić,
Stanić Miodrag,
Zoran Džamić
Publication year - 2014
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci1401063h
Subject(s) - cystectomy , medicine , urinary diversion , dissection (medical) , bladder cancer , urology , lymph node , surgery , urinary system , general surgery , cancer
Surgical treatment of invasive carcinoma of the bladder in males includes total cystectomy remo?al of the prostate, seminal vesicles, and the distal parts of the urethers and the pelvic lymph node dissection as well. At this moment it is not possible to recommend a particular type of urinary diversion, but today in clinical practice commonly used derivative are ileal orthotopic neobladder as the continent one and ileal conduit as non-continent urinary diversion. Continent urinary diversion after radical cystectomy are the result of the application of technological innovation in surgery, but also knowledge, imagination and skill of well trained urologist. This type of operation significantly improves the quality of life in patients who underwent radical cystectomy, and the proposal is to operate when- ever there is a possibility for this type of procedure. Also it is very important, during surgery to respect oncological principles, of complete removal of tumorous tissue and that the functional principle of ensuring that the patients have daytime and also nighttime continence later on after the surgery.