[Urologic reconstruction within the scope of interdisciplinary pelvic exenteration for treatment of invasive tumors of the pelvis].

Abstract

In radical surgical treatment of primary or recurrent locally advanced pelvic carcinoma involving the bladder, urinary diversion after cystectomy significantly increases the overall morbidity rate. Analyzing 20 patients retrospectively who underwent total pelvic exenteration from 1988-1997, we found that reconstruction by ileal conduit can be performed safely but leaves the patient with a (mostly second) stoma. The advantage of continence with pouch or neobladder reconstruction needs to be weighed up in view of the more demanding and complicating surgical technique, hence it should be reserved for younger, cooperative patients presenting with a favorable long term prognosis.