Treatment of infiltrating nonmetastatic bladder cancers in elderly patients

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
H QuintensC Pfister

Abstract

Total cystectomy is the reference treatment for infiltrating nonmetastatic bladder cancers. With the progress in anesthesia and postoperative intensive care, this treatment can be applied to a population of elderly subjects provided there is a strict oncological and geriatric evaluation of the patient. Recent series reporting total cystectomies in subjects over 75 years of age report comparable morbidity and mortality rates to the general population. Strategies to preserve the vesical reservoir can be indicated in selected cases. Their objectives are to guarantee local control and follow-up identical to radical cystectomy, while preserving a functional bladder and good quality of life. The strategies including transurethral resection with radiochemotherapy are analyzed. Thus, with multidisciplinary consensus and adapted management, elderly patients with significant comorbidities should not be automatically excluded from access to effective treatment of these cancers.

References

Dec 1, 1982·British Journal of Urology·D M Thomas, P R Riddle
Oct 1, 1994·Cancer·E L TrimbleM A Friedman
Nov 1, 1993·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·M HoussetF Baillet
Mar 1, 1997·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·L A KachnicW U Shipley
Nov 20, 1997·The Journal of Urology·N StroumbakisW R Fair
Nov 24, 1999·Current Opinion in Clinical Nutrition and Metabolic Care·D B Silk, C J Green
Feb 26, 2000·BJU International·D J RosarioJ B Anderson
Dec 9, 2000·European Urology·U E StuderR Mills
Feb 7, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·J P SteinD G Skinner
May 24, 2001·Hematology/oncology Clinics of North America·A L BrownD S Kaufman
Aug 8, 2001·The Journal of Urology·S S ChangJ A Smith
Feb 22, 2002·The Journal of Surgical Research·Debra L MaloneLena M Napolitano
Jul 16, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Claus RödelRolf Sauer
Jun 20, 2003·European Urology·M KuczykUNKNOWN European Society for Oncological Urology
Jan 22, 2004·European Urology·Michaël PeyromaureMarc Zerbib
Sep 8, 2005·The Journal of Urology·Brent K HollenbeckJohn T Wei
Nov 23, 2006·European Urology·Matthew E NielsenUNKNOWN Bladder Cancer Research Consortium (BCRC)
Jan 27, 2009·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·J ThariatJ-P Gérard

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Citations

Aug 31, 2013·World Journal of Urology·Guillaume PloussardPierre Mongiat-Artus

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