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Cystectomy for Neurogenic Bladder

  • Neurogenic Bladder (C Powell, Section Editor)
  • Published:
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Abstract

Patients with a myriad of neurologic conditions can develop urinary symptoms as a result of impaired bladder function. Conservative management options for neurogenic bladder (NGB) may include catheterization and medical therapy. However, refractory individuals may require more aggressive intervention such as onabotulinumtoxinA injections or bladder augmentation. As a last resort, urinary diversion may be indicated for end-stage lower urinary tract dysfunction secondary to NGB. Urinary diversion may be performed with or without cystectomy. However, leaving the defunctionalized bladder in situ may lead to pyocystis, secondary carcinoma, or pain. As a result, there has been an increasing trend to perform a concomitant cystectomy at the time of urinary diversion. While this eliminates the sequelae of the retained bladder, performing a cystectomy at the time of urinary diversion can also increase the morbidity of the procedure.

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Authors and Affiliations

  1. Department of Urology, MedStar Georgetown University Hospital, 1-PHC, 3800 Reservoir Rd NW, Washington, DC, 20007, USA

    Elizabeth Timbrook Brown

  2. Department of Urologic Surgery, Vanderbilt University Medical Center, A 1302 Medical Center North, Nashville, TN, 37232, USA

    Joshua A. Cohn, Melissa R. Kaufman, Douglas Milam, Roger R. Dmochowski & W. Stuart Reynolds

Authors
  1. Elizabeth Timbrook Brown
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  2. Joshua A. Cohn
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  3. Melissa R. Kaufman
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  4. Douglas Milam
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  5. Roger R. Dmochowski
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  6. W. Stuart Reynolds
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Corresponding author

Correspondence to Elizabeth Timbrook Brown.

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Conflict of Interest

Drs Brown, Cohn, Kaufman, Milam, Dmochowski, and Reynolds declare no relevant conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain studies with human or animal subjects performed by the author.

Additional information

This article is part of the Topical Collection on Neurogenic Bladder

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Brown, E.T., Cohn, J.A., Kaufman, M.R. et al. Cystectomy for Neurogenic Bladder. Curr Bladder Dysfunct Rep 11, 341–345 (2016). https://doi.org/10.1007/s11884-016-0389-9

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  • DOI: https://doi.org/10.1007/s11884-016-0389-9

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