Radical Cystectomy and Urinary Diversion

  • Ahmed A. Hussein
  • Zishan Hashmi
  • Richard Sarle
  • Khurshid A. Guru
Chapter

Abstract

Radical cystectomy with pelvic lymph node dissection represents the standard of care for muscle-invasive and refractory nonmuscle-invasive bladder cancer. Growing interest in minimally invasive approaches, especially robot-assisted radical cystectomy, has been spurred aiming to decrease perioperative morbidity. However, irrespective of the surgical approach, radical cystectomy remains a morbid procedure with significant complications, mostly are diversion-related. Such complications vary according to the type (ileal conduit vs continent diversion) and technique of diversion (intracorporeal vs extracorporeal). They may respond to conservative, endoscopic, and percutaneous measures, but many will require reoperations during convalescence or even years later. There has been paucity of data on management of complications and their outcomes, especially those requiring surgical intervention. In this chapter, we describe postoperative complications related to radical cystectomy and urinary diversion that may require reoperations, their causes, means of prevention, and treatment including operative management.

Keywords

Radical cystectomy Complications Reoperations Conduit Neobladder Morbidity 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Ahmed A. Hussein
    • 1
    • 2
  • Zishan Hashmi
    • 1
  • Richard Sarle
    • 3
  • Khurshid A. Guru
    • 1
  1. 1.Department of UrologyRoswell Park Cancer InstituteBuffaloUSA
  2. 2.Department of UrologyCairo UniversityGizaEgypt
  3. 3.Michigan Institute of UrologyDearbornUSA

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