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Urological Oncology pp 348–360Cite as

Surgical Management: Cystectomy and Urinary Diversion

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Abstract

The chapter discusses the principles of surgical management of invasive bladder cancer. The muscle-invasive disease is an aggressive form of bladder malignancy and has a greater propensity for metastatic disease (1). In the last two decades, advances in chemotherapy and continent urinary diversion have given a new dimension to the management of muscle-invasive bladder cancer.

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References

  1. Scher HI. Systemic chemotherapy in regionally advanced bladder cancer. Theoretical considerations and results. Urol Clin North Am 1992;19(4):747–759.

    CAS  PubMed  Google Scholar 

  2. Peyromaure M, Guerin F, Debre B, Zerbib M. Surgical management of infiltrating bladder cancer in elderly patients. Eur Urol 2004;45:147–154.

    Article  PubMed  Google Scholar 

  3. Messing EM, Catalona W. Urothelial tumors of the urinary tract. In: Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ, eds. Campbell’s Urology, 7th ed. Philadelphia: WB Saunders, 1998:2327–2410.

    Google Scholar 

  4. Figueroa AJ, Stein JP, Dickinson M, et al. Radical cystectomy for elderly patients with bladder carcinoma. An updated experience with 404 patients. Cancer 1998;83: 141–147.

    Article  CAS  PubMed  Google Scholar 

  5. Nieuwenhuijzen JA, Meinhardt W, Horenblas S. Clinical outcomes after sexuality preserving cystectomy and neobladder (prostate sparing cystectomy) in 44 patients. J Urol 2005;173(4):1314–1317.

    Article  CAS  PubMed  Google Scholar 

  6. Stein JP, Skinner DG. The role of lymphadenectomy in high-grade invasive bladder cancer. Urol Clin North Am 2005;32(2):187–197.

    Article  PubMed  Google Scholar 

  7. Mariano MB, Tefilli MV. Laparoscopic partial cystectomy in bladder cancer—initial experience. Int Braz J Urol 2004;30(3):192–198.

    Article  PubMed  Google Scholar 

  8. Dandekar NP, Tongaokar FIB, Dalal AV, Kulkarni SN. Partial cystectomy for invasive bladder cancer. J Surg Oncol 1995;60:24–29.

    Article  CAS  PubMed  Google Scholar 

  9. Novick AC, Stewart BH. Partial cystectomy in the treatment of primary and secondary carcinoma of the bladder. J Urol 1976;116:570–574.

    CAS  PubMed  Google Scholar 

  10. Nieuwenhuijzen JA, Horenblas S, Meinhardt W, et al. Salvage cystectomy after failure of interstitial radiotherapy and external beam radiotherapy for bladder cancer. BJU Int 2004;94:793–797.

    Article  PubMed  Google Scholar 

  11. Nieuwenhuijzen JA, Meinhardt W, Horenblas S. Clinical outcomes after sexuality preserving cystectomy and neobladder (prostate sparing cystectomy) in 44 patients. J Urol 2005;173(4):1314–1317.

    Article  CAS  PubMed  Google Scholar 

  12. Vallancien G, Abou El Fettouh H, et al. Cystectomy with prostate sparing for bladder cancer in 100 patients: 10-year experience. J Urol 2002;168(6):2413–2417.

    Article  PubMed  Google Scholar 

  13. Bricker EM. Bladder substitution after pelvic evisceration. Surg Clin North Am 1950;30:1511–1521.

    CAS  PubMed  Google Scholar 

  14. Manoharan M, Tunuguntla HS. Standard reconstruction techniques: techniques of ureteroneocystostomy during urinary diversion. Surg Oncol Clin North Am 2005;14: 367–379.

    Article  Google Scholar 

  15. Leadbetter WF, Clarke BD. Five year’s experience with the uretero-enterostomy by the “combined” technique. J Urol 1954;73:67–82.

    Google Scholar 

  16. Montie JE, Wie JT. Formation of an orthotopic neobladder following radical cystectomy: historical perspective, patient selection, and contemporary outcomes. J Pelv Surg 2002;8:141–147.

    Google Scholar 

  17. Manoharan M, Reyes MA, Kava BR, et al. Is adjuvant chemotherapy for bladder cancer safer in patients with an ileal conduit than a neobladder? BJU Int 2005;96:1286–1289.

    Article  PubMed  Google Scholar 

  18. Kock NG, Nilson AE, Norlen LS, et al. Urinary diversion via a continent ileal reservoir: clinical results in 12 patients. J Urol 1982;128:469–475.

    CAS  PubMed  Google Scholar 

  19. Skinner DG, Boyd SD, Lieskovsky G, et al. Lower urinary tract reconstruction following cystectomy: experience and results in 126 patients using the Kock ileal reservoir with bilateral ureteroileal urethrostomy. J Urol 1991;146:756–760.

    CAS  PubMed  Google Scholar 

  20. Sevin G, Kosar A, Perk H, Serel TA, Gurbuz G. Bone mineral content and related biochemical variables in patients with ileal bladder substitution and colonic Indiana pouch. Eur Urol 2002;41:655–659.

    Article  CAS  PubMed  Google Scholar 

  21. Hautmann RE, Egghart G, Frohneberg D, Miller K. The ileal neobladder. J Urol 1988; 139:39–42.

    CAS  PubMed  Google Scholar 

  22. Studer UE, Zingg EJ. Ileal orthotopic bladder substitutes. What we have learned from 12 years’ experience with 200 patients. Urol Clin North Am 1997;24:781–793.

    Article  CAS  PubMed  Google Scholar 

  23. Hautmann RE, de Petriconi R, Gottfried HW, et al. The ileal neobladder: complications and functional results in 363 patients after 11 years of followup. J Urol 1999; 161:422–427.

    Article  CAS  PubMed  Google Scholar 

  24. Mills RD, Studer UE. Metabolic consequences of continent urinary diversion. J Urol 1999;161:1057–1066.

    Article  CAS  PubMed  Google Scholar 

  25. Lebret T, Herve JM, Barre P, et al. Urethral recurrence of transitional cell carcinoma of the bladder. Eur Urol 1998;33:170–174.

    Article  CAS  PubMed  Google Scholar 

  26. Erckert M, Stenzl A, Falk M, Bartsch G. Incidence of urethral tumor involvement in 910 men with bladder cancer. World J Urol 1996;14:3–8.

    Article  CAS  PubMed  Google Scholar 

  27. Tefilli MV, Gheiler EL, Tiguert R, et al. Urinary diversion-related outcome in patients with pelvic recurrence after radical cystectomy for bladder cancer. Urology 1999; 53:999–1004.

    Article  CAS  PubMed  Google Scholar 

  28. Varol C, Studer UE. Managing patients after an ileal orthotopic bladder substitution. BJU Int 2004;93:266–270.

    Article  CAS  PubMed  Google Scholar 

  29. Wear JB, Barquin OP. Ureterosigmoidostomy: long-term results. Urology 1973;1: 192–200.

    Article  PubMed  Google Scholar 

  30. D’elia G, Pahernik S, Fisch M, Hohenfellner R, Thuroff JW. Mainz pouch II technique: 10 years’ experience. BJU Int 2004;93(7):1037–1042.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Urology Neobladder and Urostomy Center Miller School of Medicine, University of Miami, Miami, FL, USA

    Murugesan Manoharan MD, FRCS (Eng), FRACS (Urol)

  2. Department of Urology Miller School of Medicine, University of Miami, Miami, FL, USA

    Alan M. Nieder MD

Authors
  1. Murugesan Manoharan MD, FRCS (Eng), FRACS (Urol)
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  2. Alan M. Nieder MD
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Editor information

Editors and Affiliations

  1. St. Bartholomew’s and Homerton Hospitals Queen Mary Barts and the London School of Medicine and Dentistry, University of London, London, UK

    Vinod H. Nargund PhD, FRCS (Urol), FEBU (Chair, Uro-Oncology MDT and Consultant Urological Surgeon) (Chair, Uro-Oncology MDT and Consultant Urological Surgeon)

  2. Cleveland Clinic Taussig Cancer Center, Cleveland, OH, USA

    Derek Raghavan MD, PhD, FACP, FRACP (Chairman and Director) (Chairman and Director)

  3. Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA

    Howard M. Sandler MD (Professor and Senior Associate Chair) (Professor and Senior Associate Chair)

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© 2008 Springer-Verlag London Limited

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Manoharan, M., Nieder, A.M. (2008). Surgical Management: Cystectomy and Urinary Diversion. In: Nargund, V.H., Raghavan, D., Sandler, H.M. (eds) Urological Oncology. Springer, London. https://doi.org/10.1007/978-1-84628-738-1_19

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  • DOI: https://doi.org/10.1007/978-1-84628-738-1_19

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-387-1

  • Online ISBN: 978-1-84628-738-1

  • eBook Packages: MedicineMedicine (R0)

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