Ileal conduit or orthotopic neobladder: selection and contemporary patterns of use.

Current Opinion in Urology
Nima Almassi, Bernard H Bochner

Abstract

The orthotopic neobladder and ileal conduit are the two most commonly utilized urinary diversions among patients undergoing radical cystectomy. Although orthotopic diversion offers several advantages, only 20% of patients nationally receive this diversion, with decreasing utilization over time. The purpose of this article is to review advantages of each diversion type and considerations in patient selection, review trends in diversion utilization and perioperative and functional outcomes, and examine recent studies evaluating methods of optimizing diversion selection and patient satisfaction and outcomes. Decreasing utilization of orthotopic diversion has coincided with the increasing utilization of minimally invasive surgical techniques. A multicentre robotic series demonstrated a higher incidence of high-grade complications with intracorporeal diversion, reflecting the learning-curve associated with this technique. Patient satisfaction with urinary diversion is associated with informed decision-making and goal alignment. Ongoing quality of life studies is aiming to identify predictors of patient satisfaction with the selected urinary diversion and may help guide patient counselling. Given the potential advantages of orthotopi...Continue Reading

References

Feb 11, 2003·The Journal of Urology·Stephen MadersbacherUrs E Studer
Jun 30, 2009·Annals of the Royal College of Surgeons of England·Joe PhilipPradip M Javlé
May 18, 2012·The Journal of Urology·Christopher B AndersonMelissa R Kaufman
Jan 5, 2014·The Journal of Urology·Timothy F DonahueHebert A Vargas
Jun 11, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A S AliB K Somani
Feb 7, 2015·Scandinavian Journal of Urology·Johan StyrkeLeif Israelsson
Jan 5, 2018·World Journal of Urology·Kinan BachourKarim Chamie
Feb 25, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Yuelin LiBernard H Bochner
Aug 24, 2019·The Journal of Urology·Devon K CheckCarmit K McMullen

❮ Previous
Next ❯

Citations

Jun 18, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Francesco EspertoRoberto M Scarpa
Aug 20, 2021·Scientific Reports·Arkadiusz JundziłłTomasz Drewa
Aug 10, 2021·Current Opinion in Urology·Antonio CicioneAndrea Tubaro
Jun 22, 2021·Current Opinion in Urology·Siberyn T NuijensJ Alfred Witjes

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Current Treatment Options in Oncology
Peter E Clark
The Medical Journal of Australia
J LOEWENTHAL
The Journal of Urology
D M Barrett
Zeitschrift für Gastroenterologie
Stefan Müller-Lissner
© 2021 Meta ULC. All rights reserved