Abstract
Anterior pelvic exenteration is often used synonymously with radical cystectomy in women when used in the context of bladder cancer. The procedure includes removal of the bladder, uterus, fallopian tubes, ovaries, anterior vagina and often the urethra unless the patient is a candidate for orthotopic urinary diversion (neobladder). Surgical treatment for bladder cancer also includes a thorough and extensive pelvic lymph node dissection. In appropriate candidates the anterior vaginal wall may be preserved for maintenance of sexual function. This chapter details the operation from the urological and anatomical perspective with attention to preservation of functional tissue for orthotopic urinary diversion.
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