Abstract
Radical cystectomy and urinary diversion is the standard treatment for patients with muscle invasive bladder cancer. Urinary diversion after radical cystectomy requires skill and expertise. Multiple techniques of urinary diversion are present. However, the orthotropic neobladder (OBS) may be better in terms of quality of life. For the sake of simplicity, neobladder reconstruction is better divided into the following stages; Stage I: Patient selection and preparation Stage II: Radical cystectomy and lymphadenectomy Stage III: Neobladder reconstruction Stage IV: Uretero- and Urethro-enteric anastomosis Stage V : Postoperative management Stage VI: Management of complications
Highlights
Radical cystectomy (RCX) and urinary diversion is the standard treatment for patients with muscle invasive bladder cancer and some patients with non-muscle invasive disease who failed the intra-vesical treatment [1]
We try to simplify the basic principles of neobladder reconstruction for the beginners to make their practice easier
For the sake of simplicity, neobladder reconstruction is better divided into stages; the higher stages need higher experience
Summary
Assiut urology and nephrology Hospital, Assiut University, Egypt Submission: February 14, 2017; Published: March 03, 2017 *Corresponding author: Ahmed M Moeen, Assiut urology and nephrology Hospital, Assiut University, Egypt, Email: Abstract Radical cystectomy and urinary diversion is the standard treatment for patients with muscle invasive bladder cancer. Urinary diversion after radical cystectomy requires skill and expertise. The orthotropic neobladder (OBS) may be better in terms of quality of life. For the sake of simplicity, neobladder reconstruction is better divided into the following stages;. A. Stage I: Patient selection and preparation b. Stage II: Radical cystectomy and lymphadenectomy c. Stage VI: Management of complications Keywords: Orthotopic neobladder; Reconstruction; Stages; Complications Abbreviations: RCX: Radical Cystectomy; OBS: Orthotopic Neobladder; ERAS: Enhanced Recovery after Surgery; LND: Lymphadenectomy
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