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Urinary Diversion for Incontinence and Voiding Dysfunction in Cancer Survivors: a Critical Review of the Literature

  • Cancer-Associated Voiding Dysfunction (A Peterson, Section Editor)
  • Published:
Current Bladder Dysfunction Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Urinary diversion (UD) remains the last option for improving quality of life in patients with treatment-refractory urinary incontinence (UI) or voiding dysfunction after cancer treatment. We aim to critically review the utility of UD for UI and voiding dysfunction in patients previously treated for malignancy.

Recent Findings

UD patients are at high risk given their oncologic treatment and multiple procedures prior to UD. The severe impact of UI and voiding dysfunction on quality of life is significant. Despite the risk of complications after UD, men reported significant improvement of their urinary symptoms and were confident that they would have sought UD sooner.

Summary

UD remains a last option for some men dealing with severe urinary symptoms after treatment of pelvic malignancy in both men and women. Further investigation is needed to better characterize the burden of disease and potential gains surrounding management of these men.

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Authors and Affiliations

  1. Department of Urology, University of San Francisco, San Francisco, CA, 94110, USA

    Samuel L. Washington III, Gregory P. Murphy, Mohannad Awad, Thomas Gaither & Benjamin N. Breyer

  2. Department of Urology, San Francisco General Hospital, 1001 Potrero Ave, Suite 3A20, San Francisco, CA, 94110, USA

    Benjamin N. Breyer

Authors
  1. Samuel L. Washington III
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  2. Gregory P. Murphy
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  3. Mohannad Awad
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Corresponding author

Correspondence to Benjamin N. Breyer.

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Conflict of Interest

Drs Washington, Murphy, Awad, Gaither, and Breyer declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

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This article is part of the Topical Collection on Cancer-Associated Voiding Dysfunction

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Washington, S.L., Murphy, G.P., Awad, M. et al. Urinary Diversion for Incontinence and Voiding Dysfunction in Cancer Survivors: a Critical Review of the Literature. Curr Bladder Dysfunct Rep 12, 167–173 (2017). https://doi.org/10.1007/s11884-017-0415-6

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  • DOI: https://doi.org/10.1007/s11884-017-0415-6

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