Functional Outcomes of Orthotopic Neobladder in Women.

IF 2.5 2区 医学 Q2 UROLOGY & NEPHROLOGY
Current Urology Reports Pub Date : 2024-11-01 Epub Date: 2024-08-28 DOI:10.1007/s11934-024-01223-7
Unwanaobong Nseyo, David Ginsberg
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引用次数: 0

Abstract

Purpose of review: This review paper summarizes the available literature on the evolution of surgical approach to radical cystectomy in female bladder cancer patients and its impact on functional outcomes in orthotopic neobladder.

Recent findings: Traditionally, radical cystectomy in female bladder cancer patients has been maximally extirpative with pelvic exenteration. Recently, new techniques which include pelvic organ-sparing, nerve-sparing and vaginal-sparing have demonstrated improved rates of urinary incontinence and retention. Additional techniques include prophylactic apical suspension which reduces the likelihood of pelvic organ prolapse, a risk factor for voiding dysfunction in the setting of orthotopic neobladder. Surgical management of bladder cancer in female patients has evolved to include surgical approaches which center quality of life and functional outcomes that are unique to female patients who have undergone radical cystectomy with ileal neobladder and can be optimized based on considerations regarding an approach that limits pelvic floor and pelvic nerve disruption.

Abstract Image

女性矫形新膀胱的功能结果。
综述目的:本综述总结了女性膀胱癌患者根治性膀胱切除术手术方法的演变及其对正位新膀胱功能预后影响的现有文献:传统上,女性膀胱癌患者的根治性膀胱切除术都是通过盆腔外扩进行最大限度的切除。最近,包括骨盆器官保留、神经保留和阴道保留在内的新技术已证明尿失禁和尿潴留的发生率有所改善。其他技术还包括预防性顶端悬吊术,该术式可降低盆腔器官脱垂的可能性,而盆腔器官脱垂是正位新膀胱情况下导致排尿功能障碍的危险因素。女性患者膀胱癌的手术治疗已发展到包括以生活质量和功能结果为中心的手术方法,这些结果是接受根治性膀胱切除术并行回肠新膀胱术的女性患者所特有的,并且可以根据限制盆底和盆腔神经损伤的方法进行优化。
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来源期刊
Current Urology Reports
Current Urology Reports UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
3.80%
发文量
39
期刊介绍: This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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