You have accessJournal of UrologyBladder Cancer: Detection and Screening1 Apr 20111249 SECONDARY MALIGNANCIES IN URINARY DIVERSION - A MULTICENTER ANALYSIS Tilman Kaelble, Ines Hofmann, Hubertus Riedmiller, and Daniel Claudius Vergho Tilman KaelbleTilman Kaelble Fulda, Germany More articles by this author , Ines HofmannInes Hofmann Fulda, Germany More articles by this author , Hubertus RiedmillerHubertus Riedmiller Würzburg, Germany More articles by this author , and Daniel Claudius VerghoDaniel Claudius Vergho Würzburg, Germany More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.920AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The risk estimation of secondary tumors following different kinds of urinary diversion using intestinal segments has only been possible for ureterosigmoidostomies yet due to the lack of follow-up studies. METHODS We analyzed the operation records of 44 German clinics for all kinds of urinary diversion operated from 1970–2007 and registerated all reported secondary tumors of these clinics up to 2009. RESULTS In 17.758 urinary diversions 32 secondary tumors occurred. The tumor risk in ureterosigmoidostomies (2,58%) and cystoplasties (1,58%) is significantly higher than in other continent forms of urinary diversion (p<0,0001). The tumor risk in orthotopic (ileo-) colonic neobladders (0,97%) is significantly (p=0,0001) higher than in ileal neobladders (0,05%). The difference between ileocoecal pouches (0,18%) versus ileal neobladders is not significant (p=0,46). The tumor risk following ileal conduits is minimal (0,02%). CONCLUSIONS Ureterosigmoidostomies, cystoplasties and probably orthotopic (ileo-)colonic neobladders bear a significantly increased tumor risk compared to the general population with necessity of regular endoscopic controls at least from the 5th postoperative year on. Following ileal neobladders, conduits and probably catheterizable ileocoecal pouches regular endoscopic controls are not necessary. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e500 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tilman Kaelble Fulda, Germany More articles by this author Ines Hofmann Fulda, Germany More articles by this author Hubertus Riedmiller Würzburg, Germany More articles by this author Daniel Claudius Vergho Würzburg, Germany More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...