Neobladder "Function": Tips and Tricks for Surgery and Postoperative Management.
Daniela FasanellaMichele MarchioniLuigi DomanicoClaudia FranziniAntonino InferreraLuigi SchipsFrancesco GrecoPublished in: Life (Basel, Switzerland) (2022)
Orthotopic neobladder (ONB) reconstruction is a continent urinary diversion procedure increasingly used in patients with muscle-invasive bladder cancer following radical cystectomy (RC). It represents a valid alternative to the ileal duct in suitable patients who do not prefer a stoma and are motivated to undergo adequate training of the neobladder. Careful patient selection, taking into account the absolute and relative contraindications for ONB as well as an adequate recovery protocol after surgery are integral to the success of this procedure and the oncological and functional outcomes. The objective of this review is to summarize the current data on RC with ONB in terms of patient selection, preoperative preparation, surgical techniques and functional (continence and sexual activity) and oncological outcomes, with particular attention to the management of complications and the impact on quality of life (QoL).
Keyphrases
- robot assisted
- minimally invasive
- muscle invasive bladder cancer
- case report
- patients undergoing
- rectal cancer
- radical prostatectomy
- randomized controlled trial
- prostate cancer
- coronary artery bypass
- working memory
- type diabetes
- risk factors
- big data
- electronic health record
- mental health
- metabolic syndrome
- coronary artery disease
- skeletal muscle
- surgical site infection