Management of Pelvic Organ Prolapse After Radical Cystectomy
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Purpose of Review
This article explores the anatomy, management options, and outcomes of pelvic organ prolapse with a female cystectomy patient.
There is a lack of data on surgical management outcomes for prolapse following radical cystectomy. However, most case series from tertiary referral centers show reasonable results irrespective of route of repair. As expected, the surgical planes and the reorientation of the bowel loop for urinary diversion makes any pelvic reconstruction a potential hazard and requires a high level of expertise and counseling to the patient in regard to the management of expectations.
Pelvic organ prolapse following radical cystectomy is uncommon but presents a significant challenge to the reconstructive surgeon.
KeywordsRadical cystectomy Prolapse Sacro-colpopexy Complications
Compliance with Ethical Standards
Conflict of Interest
Dominic Lee and Philippe Zimmern each declare no potential conflicts of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
- 5.Littlejohn N, Cohn JA, Kowalik CG, Kaufman MR, Dmochowski RR, Reynolds WS. Treatment of pelvic floor disorders following neobladder. Curr Urol Rep. 2017;18(1):5. https://doi.org/10.1007/s11934-017-0652-4 This review presents the most current information on the treatment of pelvic floor disorders after orthotopic bladder substitution.CrossRefPubMedGoogle Scholar
- 11.Stav K, Dwyer PL, Rosamilia A, Lim YN, Alcalay M. Transvaginal pelvic organ prolapse repair of anterior enterocele following cystectomy in females. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(4):411–5 This article documents the use of transvaginal repair of prolapse following radical cystectomy.CrossRefGoogle Scholar
- 12.Törzsök P, Bauer S, Forstner R, Sievert KD, Janetschek G, Zimmermann R. Laparoscopic radical cystectomy and ileal neobladder for muscle invasive bladder cancer in combination with one stage prophylactic laparoscopic Sacrospinal fixation to avoid future pelvic organ prolapse. J Endourol Case Rep. 2016;2(1):59–61.CrossRefGoogle Scholar