Pycha, Armin and Burger, Maximilian and Palermo, Salvatore (2015) Urinary diversion: tailored solutions for individual patients. CURRENT OPINION IN UROLOGY, 25 (5). pp. 436-440. ISSN 0963-0643, 1473-6586
Full text not available from this repository. (Request a copy)Abstract
Purpose of reviewVarious urinary diversions are at disposition for reconstructive surgery after cystectomy. The chosen diversion has a strong impact on patients' life regarding complications and quality of life. The purpose of this review is to summarize the current tendency to adapt surgical solutions to individual needs of the patient.Recent findingsTailored surgery requires that the surgeon has been trained in the handling of all gut segments. Only in this case can he react to anatomical variants, patient comorbidities and oncological circumstances, as well as to the prognosis and the social circumstances of the patient with a tailored diversion. Changing demography and ageing populations with increasing incidence of muscle invasive bladder cancer request new, less invasive methods of urinary diversions. There is little evidence as to which is the best urinary diversion due to a lack of well designed studies.SummaryThe ileum conduit is still the most used urinary diversion worldwide. However, there are multiple techniques available to us, which guarantee the safest solution in combination with the highest quality of life for the construction of tailored urinary diversion.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BLADDER-CANCER; RADICAL CYSTECTOMY; ILEAL CONDUIT; ANTIREFLUX; SURVIVAL; OUTCOMES; OLDER; conduit; neobladder; pouch; tailored surgery; urinary diversion |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Urologie |
| Depositing User: | Petra Gürster |
| Date Deposited: | 26 Aug 2020 06:38 |
| Last Modified: | 26 Aug 2020 06:38 |
| URI: | https://pred.uni-regensburg.de/id/eprint/4863 |
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