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Preservation of Reproductive Organs in Women

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Bladder Cancer

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

The gold standard therapy for muscle invasive urothelial carcinoma of the bladder in women is radical cystectomy with anterior pelvic exenteration which involves removal of the lymph nodes, uterus, ovaries, fallopian tubes, bladder, anterior vaginal wall and urethra. For all women there is much concern about sexual function and quality of life after cystectomy and urinary diversion. In this chapter we will explore the advances made in preservation of the reproductive organs in females and review the current rates of concomitant involvement of each with urothelial carcinoma.

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References

  1. American Cancer Society Surveillance Research, Cancer Facts and Figures 2006. Atlanta: American Cancer Society, 2006.

    Google Scholar 

  2. Marshall FF, Treiger FG. Radical cystectomy (anterior exenteration) in the female patient. Urol Clin North Am 18: 765, 1991.

    CAS  PubMed  Google Scholar 

  3. Chin JL, Wolf RM, Huben RP, et al. Vaginal recurrence after cystectomy for bladder cancer. J Urol 134: 58, 1985.

    CAS  PubMed  Google Scholar 

  4. Paepe ME, Rubin A, Mahadevia P. Urethral involvement in female patients with bladder cancer. Cancer 65: 1237, 1990.

    Article  PubMed  Google Scholar 

  5. Walsh PC, Lepor H, Eggleston JC. Radical prostatectomy with preservation of sexual function: anatomical and pathological considerations. Prostate 4: 473, 1983.

    Article  CAS  PubMed  Google Scholar 

  6. Schlegal PH, Walsh PC. Neuroanatomical approach to radical cystoprostatectomy with preservation of sexual function. J Urol 138: 1402, 1987.

    Google Scholar 

  7. Schover LR, von Eschenbach AC. Sexual function and female radical cystectomy: A case series. J Urol 134: 465, 1985.

    CAS  PubMed  Google Scholar 

  8. Ghoneim MA. Orthotopic bladder substitution in women following cystectomy for bladder cancer. Urol Clin North Am 24: 255, 1997.

    Article  Google Scholar 

  9. Schoenberg M, Hortopan S, Schlossberg L, Marshall F. Anatomical anterior exenteration with urethral and vaginal preservation: Illustrated surgical method. J Urol 161: 569, 1999.

    Article  CAS  PubMed  Google Scholar 

  10. Stenzl A, Colleselli K, Poisel S, Feichtinger H, Pontasch H, Bartsch G. Rationale and technique of nerve sparing radical cystectomy before an orthotopic neobladder procedure in women. J Urol 154: 2044, 1995.

    Article  CAS  PubMed  Google Scholar 

  11. Stenzl A, Ladislav J, Coloby P, Golia S, Bartsch G, Marek B, Tadao K, Robertson C. Urethra-sparing cystectomy and orthotopic urinary diversion in women with malignant pelvic tumors. Cancer 92: 1864, 2001.

    Article  CAS  PubMed  Google Scholar 

  12. Camey M, Le Duc A. L'enterocystoplastie avec cystoprostatectomie totale pour cancer de la vessie. Ann Urol 13: 114, 1979.

    Google Scholar 

  13. Stein JP, Stenzl A, Esrig D, et al. Lower urinary tract reconstruction following cystectomy in women using the Kock ileal reservoir with bilateral ureteroileal urethrostomy: Initial clinical experience. J Urol 152: 1404, 1994.

    CAS  PubMed  Google Scholar 

  14. Stenzl A, Colleselli K, Bartsch G. Continent reservoir to the urethra in the female. J Urol part 2, 151: 204A; videotape V-19, 1994.

    Google Scholar 

  15. Colleselli K, Strasser H, Moriggl B, Stenzl A, Poisel S, Bartsch G. Hemi-Kock to the female urethra: anatomical approach to the continence mechanism to the female urethra. J Urol part 2, 151: 500A; abstract 1089, 1994.

    Google Scholar 

  16. De Paepe ME, Andre R, Mahadevia P. Urethral involvement in female patients with bladder cancer. A study of 22 cystectomy specimens. Cancer 65: 1237, 1990.

    Article  CAS  PubMed  Google Scholar 

  17. Coloby PJ, Kakizoe T, Tobisu K, Sakamoto M. Urethral involvement in female bladder cancer patients: mapping of 47 consecutive cystourethrectomy specimens. J Urol 152: 1438, 1994.

    CAS  PubMed  Google Scholar 

  18. Stein J, Cote R, Freeman J, Esrig D, Elmajian D, Groshen S, Skinner E, Boyd S, Lieskovsky G, Skinner D. Indications for lower urinary tract reconstruction in women after cystectomy for bladder cancer: A pathological review of female cystectomy specimens. J Urol 154: 1329, 1995.

    Article  CAS  PubMed  Google Scholar 

  19. Chen M, Pisters L, Malpica A, Pettaway C, Dinney C. Risk of urethral, vaginal, and cervical involvement in patients undergoing radical cystectomy for bladder cancer: results of a contemporary cystectomy series from M.D. Anderson Cancer Center. J Urol 157: 2120, 1997.

    Article  CAS  PubMed  Google Scholar 

  20. Stenzl A, Draxl H, Posch B, Colleselli K, Falk M, Bartsch G. Bladder cancer: The risk of urethral tumors in female bladder cancer: can the urethra be used for orthotopic reconstruction of the lower urinary tract? J Urol 153: 950, 1995.

    Article  CAS  PubMed  Google Scholar 

  21. Chang S, Cole E, Cookson M, Peterson M, Smith J. Preservation of the anterior vaginal wall during female radical cystectomy with orthotopic urinary diversion: technique and results. J Urol 168: 1442, 2002.

    Article  PubMed  Google Scholar 

  22. Ali-El-Dein B, Gohma M, Ghoneim M. Critical evaluation of the problem of chronic urinary retention after orthotopic bladder substitution in women. J Urol 168: 587, 2002.

    Article  PubMed  Google Scholar 

  23. Puppo P, Introini C, Calvi P, Naselli A. Prevention of chronic urinary retention in orthotopic bladder replacement in the female. Eur Urol 47: 674–78, 2005.

    Article  PubMed  Google Scholar 

  24. Ali-El-Dien B, El-Sobky E, Hohenfellner M, Ghoneim MA. Orthotopic bladder substitution in women: functional evaluation. J Urol 161: 1875, 1999.

    Article  Google Scholar 

  25. Abol-enein H, Ghoneim M. Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: experience with 450 patients. J Urol 165: 1427, 2001.

    Article  CAS  PubMed  Google Scholar 

  26. Rapp D, O'Connor C, Katz E, Steinberg G. Nepbladder-vaginal fistula after cystectomy and orthotopic neobladder construction. BJU Int 94: 1092, 2004.

    Article  PubMed  Google Scholar 

  27. Chang SS, Cole E, Smith JA, Cookson MS. Pathological findings of gynecologic organs obtained at female radical cystectomy. J Urol 168: 147, 2002.

    Article  PubMed  Google Scholar 

  28. Ali-El-Dein B, Abdel-Latif M, Mosbah A, Eraky I, Shaaban A, Taha N, Ghoneim M. Secondary malignant involvement of gynecologic organs in radical cystectomy speciments in women: Is it mandatory to remove these organs routinely? J Urol 172: 885, 2004.

    Article  PubMed  Google Scholar 

  29. Zippe C, Raina R, Shah A, Massanyi E, Agarwal A, Ulchaker J, Jones S, Klein E. Female sexual dysfuction after radical cystectomy: a new outcome measure. Urology 63: 1153, 2003.

    Article  Google Scholar 

  30. Horenblas S, Meinhardt W, Ijzerman W, Moonen L. Sexuality preserving cystectomy and neobladder: Initial results. J Urol 166: 837, 2001.

    Article  CAS  PubMed  Google Scholar 

  31. Zippe C, Nandipati K, Agarwal A, Rupesh R. Female sexual dysfunction after pelvic surgery: The impact of surgical modifications. BJU 96: 959, 2005.

    Article  Google Scholar 

  32. Bhat A, Nandipati K, Nivedita D, Ulchaker J, Jones S, Rackley R, Zippe C. Neurovascular preservation in orthotopic cystectomy: Impact on female sexual function. Urology 67: 185, 2006.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Section of Urology, University of Chicago, Chicago, IL, USA

    Gary D. Steinberg & Gary D. Steinberg

Authors
  1. Lambda Msezane and
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  2. Gary D. Steinberg
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  3. Gary D. Steinberg
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Correspondence to Gary D. Steinberg .

Editor information

Editors and Affiliations

  1. Dept. Urology, University of Michigan Health System, E. Medical Center Dr. 1500 , Ann Arbor, 48109-0252, U.S.A.

    Cheryl T. Lee

  2. Dept. Urology, University of Michigan Health System, E. Medical Center Dr. 1500 , Ann Arbor, 48109-0252, U.S.A.

    David P. Wood

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© 2009 Humana Press, a part of Springer Science+Business Media, LLC

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Msezane and, L., Steinberg, G.D., Steinberg, G.D. (2009). Preservation of Reproductive Organs in Women. In: Lee, C., Wood, D. (eds) Bladder Cancer. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-417-9_16

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  • DOI: https://doi.org/10.1007/978-1-59745-417-9_16

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-988-8

  • Online ISBN: 978-1-59745-417-9

  • eBook Packages: MedicineMedicine (R0)

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