Skip to main content
SpringerLink
Log in

Qualified Rehabilitation After Radical Treatment for Bladder Cancer

  • Living reference work entry
  • First Online:
Urologic Oncology

  • 248 Accesses

Abstract

Urological tumor diseases and consecutive invasive therapy with temporary or permanent impairments of health are a biographical break. During the early phase after radical intervention, a professional specific urological care should be carried out to deal with subjective as well as objective problems (e.g., incontinence, erectile dysfunction, stoma care, and metabolic disturbances). Usually, the hospitals that undertake the acute postoperative care would be underequipped and have personal and administrative limitations to carry out the postoperative rehabilitation. Nevertheless, urology outpatient clinics have much less resources to meet the necessary requirements for a qualified rehabilitation. Through an immediate post-interventional, specific urological rehabilitation, negative consequences of the disease and/or invasive therapy procedures can be markedly reduced and the viability or self-employment and reintegration into the social environment of the patient concerned possible. By the time, the urological rehabilitation has developed into a sophisticated, scientifically oriented subdiscipline within urology with further improvement of the rehabilitation potential. It is important to diagnose the somatic, mental, and social impairments. However, a prerequisite for a quality-oriented implementation is the exclusive support in adequately staffed and infrastructure-oriented treatment facilities under the supervision of qualified and experienced main occupational rehabilitation urologists (specific to the urological rehabilitation center). For the “overall outcome” of invasively treated urological tumor patients, this topic must be given a further and growing place in urological education. It is not permissible (again) to make the mistake of leaving this important urological subdiscipline to other specialist groups from unconsidered and/or lack of interest.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  • Abdel-Fattah M, Rizk DE. Diabetes mellitus and female urinary incontinence: a time for change. Int Urogynecol J. 2012;23(4):1481–2.

    Article  PubMed  Google Scholar 

  • Abdel-Latif M, Mosbah A, El Bahnasawy MS, Elsawy E, Shaaban AA. Asymptomatic bacteriuria in men with orthotopic ileal neobladders: possible relationship to nocturnal enuresis. BJU Int. 2005;96(3):391–6.

    Article  PubMed  Google Scholar 

  • Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence – 2nd international consultation on incontinence. Plymouth, Plymbridge Distributors Ltd; 2002.

    Google Scholar 

  • Ahmadi H, Skinner EC, Simma-Chiang V, Miranda G, Cal J, Penson DF, Daneshmand S. Urinary functional outcome following radical cystoprostatectomy and ileal neobladder reconstruction in male patients. J Urol. 2013;189(5):1782–8.

    Article  PubMed  Google Scholar 

  • Althof SE. Quality of life and erectile dysfunction. Urology. 2002;59(6):803–10.

    Article  PubMed  Google Scholar 

  • Bartsch G, Daneshmand S, Skinner EC, Syan S, Skinner DG, Penson DF. Urinary functional outcomes in female neobladder patients. World J Urol. 2014;32(1):221–8.

    Article  PubMed  Google Scholar 

  • Basmaijan JV. Biofeedback – principles and practice for clinicians. Baltimore/Hong Kong/London/Sydney: Wiliams and Wilkins; 1989.

    Google Scholar 

  • Bayerle-Eder M. Sexualität im Alter und bei chronischen Erkrankungen aufrechterhalten. Gynakol Geburtshilfe. 2015;20(Suppl 7):34–6.

    Article  Google Scholar 

  • Bergant A, Marth C. Sexualität nach der Therapie gynäkologischer Malignome. In: Petru E, Jonat W, Fink D, Köchli O, editors. Praxisbuch Gynäkologische Onkologie. 2nd ed. Berlin/Heidelberg: Springer; 2009.

    Google Scholar 

  • Bergman B, Knutson F. Renal infection after ileal conduit urinary diversion. An autopsy study. Acta Pathol Microbiol Scand A. 1978;86(3):245–50.

    CAS  PubMed  Google Scholar 

  • Bosshardt RJ, Farwerk R, Sikora R, Sohn M, Jakse G. Objective measurement of the effectiveness, therapeutic success and dynamic mechanism of the vacuum device. Br J Urol. 1994;75(6):786–91.

    Article  Google Scholar 

  • Cabric M, Appell HJ. Effect of electrical stimulation of high and low frequency on maximum isometric force and some morphological characteristics in men. Int J Sports Med. 1987;8(4):256–60.

    Article  CAS  PubMed  Google Scholar 

  • Calton JB. Prevalence of micronutrient deficiency in popular diet plans. J Int Soc Sports Nutr. 2010;7:24–33.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dewys WD, Begg C, Lavin PT, Band PR, Bennett JM, Bertino JR, Cohen MH, Douglass HO Jr, Engstrom PF, Ezdinli PF, Horton J, Johnson GJ, Moertel CG, Oken MM, Perlia C, Rodenbaum C, Silverstein MN, Skeel RT, Sponzo RW, Tomey DC. (Eastern cooperative oncology group). Prognostic effect of weight loss prior to chemotherapy in cancer patients. Am J Med. 1980;69(4):491–7.

    Article  CAS  PubMed  Google Scholar 

  • DiNubile NA. Strength training. Clin Sports Med. 1991;10(1):33–62.

    CAS  PubMed  Google Scholar 

  • Hanjalic-Beck A, Farthmann J, Hasenburg A. Sexualität der Frau nach onkologischer Therapie. Forum. 2012;27(2):127–31.

    Article  Google Scholar 

  • Hautmann RE, Abol-Enein H, Davidsson T, Gudjonsson S, Hautmann SH, Holm HV, Lee CT, Liedberg F, Madersbacher S, Manoharan M, Mansson W, Mills RD, Penson DF, Skinner EC, Stein R, Studer UE, Thueroff JW, Turner WH, Volkmer BG, Xu A. ICUD-EAU international consultation on bladder cancer 2012: urinary diversion. Eur Urol. 2013;63(1):67–80.

    Article  PubMed  Google Scholar 

  • Heathcote PS, Mactaggart PN, Boston RJ, James AN, Thompson LC, Nicol DL. Health-related quality of life in Australian men remaining disease-free after radical prostatectomy. Med J Aust. 1998;168(10):483–6.

    CAS  PubMed  Google Scholar 

  • Herpetz U. Ödeme und Lymphdrainage. 4th ed. Stuttgart: Schattauer; 2010.

    Google Scholar 

  • Herrmann W. Vitamin B12. In: Thomas L, editor. Labor und Diagnose. 7th ed. Frankfurt: TH-Books Verlagsgesellschaft; 2008.

    Google Scholar 

  • Herwig R, Brinkmann OA, Sievert KD, Brodner G, Hertle L. Cystectomy causes immunosuppression in bladder cancer. In: Atala A, Slade D, editors. Bladder disease part a – research concept an clinical applications. Boston: Springer US; 2003.

    Google Scholar 

  • Heyns CF. Urinary tract infection associated with conditions causing urinary tract obstruction and stasis, excluding urolithiasis and neuropathic bladder. World J Urol. 2012;30(1):77–83.

    Article  CAS  PubMed  Google Scholar 

  • Jemtzik F, Schrader AJ, de Petriconi R, Hefty R, Mueller J, Doetterl J, Eickhoff A, Schrader M. The neobladder in female patients with bladder cancer: long-term clinical, functional, and oncological outcome. World J Urol. 2012;30(6):733–9.

    Article  Google Scholar 

  • Karl A, Rittler P, Buchner A, Fradet V, Speer R, Walther S, Stief GC. Prospective assessment of malnutrition in urologic patients. Urology. 2009;73(5):1072–6.

    Article  PubMed  Google Scholar 

  • Kim KH, Yoon HS, Yoon H, Chung WS, Sim BS, Ryu DR, Lee DH. Risc factors for developing metabolic acidosis after radical cystectomy and ileal neobladder. PLoS One. 2016;11(7):e0158220. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934768/doi.org/10.1371/journal.pone.0158220

    Article  PubMed  PubMed Central  Google Scholar 

  • Khorrami MH, Javid A, Izadpanaki MH, Alizadeh F, Zargham M, Khorrami F. Efficacy of long-term acting octreoide on reducing mucus production in patients with ileal neobladder. Clin Genitourin Cancer. 2017;15(1):e9–e13. https://doi.org/10.1016/j.clgc 2016.10012. Available from http://www.sciencedirect.com/science/article/pii/S1558767316303214/

    Article  PubMed  Google Scholar 

  • Koch MO, McDougal WS. Nicotinic acid: treatment for the hyperchloremic acidosis following urinary diversion through intestinal segments. Chlorpromazine: adjuvant therapy for the metabolic derangements created by urinary diversion through intestinal segments. J Urol. 1985;134(1):162–9.

    Article  CAS  PubMed  Google Scholar 

  • Kovnerystyy O, Bruch-Gerharz D, Ruzicka T, Stege H. Sekundäres Lymphödem – Eine therapeutische Herausforderung. Hautarzt. 2006;57(4):333–5.

    Article  CAS  PubMed  Google Scholar 

  • Kurtz A. Funktion der Nieren und Regulation des Wasser- und Elektrolythaushalts. In: Löffler G, Pertrides PE, Heinrich PC, editors. Biochemie und Pathobiochemie. 8th ed. Heidelberg: Springer; 2007.

    Google Scholar 

  • Mathur S, Plank L, Hill AG, Rice MA, Hill GL. Change in body composition, muscle function and energy expenditure after radical cystectomy. BJU Int. 2008;101(8):973–7.

    Article  PubMed  Google Scholar 

  • May M, Fritsche H, Gilfrich C, Brookman-May S, Burger M, Otto W, Bolenz C, Trojan E, Herrmann E, Michel MS, Wülfing C, Tiemann A, Müller SC, Ellinger J, Buchner A, Stief CG, Tilki D, Wieland WF, Höfner T, Hohenfellner M, Haferkamp A, Roigas J, Müller O, Bretschneider-Ehrenberg P, Zacharias M, Gunia S, Bastian PJ. Einfluss des Alters auf das karzinomspezifische Überleben nach radikaler Zystektomie. Urologe. 2011;50(7):821–9.

    Article  CAS  PubMed  Google Scholar 

  • Naganuma T, Takemoto Y, Maeda S, Iwai T, Kuwabara N, Sholi T, Okamura M, Nakatani T. Chronic kidney disease in patients with ileal conduit urinary diversion. Exp Ther Med. 2012;4(6):962–6.

    Article  PubMed  PubMed Central  Google Scholar 

  • N’Dow J, Robson CN, Metthews JN, Neal DE, Pearson JP. Reducing mucus production after urinary reconstruction: a prospective randomized trial. J Urol. 2001;165(5):1433–40.

    Article  PubMed  Google Scholar 

  • Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr. 2008;27(1):5–15.

    Article  PubMed  Google Scholar 

  • Pirlich M, Schutz T, Norman K, Gastell S, Lubke HJ, Bischoff SC. The Genman hospital malnutrition study. Clin Nutr. 2006;25(4):563–72.

    Article  PubMed  Google Scholar 

  • Schmid L, Zellmann K, Liedl B, Clemm C, Weber B. Rehabilitation. In: Tumorzentrum München, editor. Urogenitale Tumoren – Empfehlungen zur Diagnostik, Therapie und Nachsorge. 3rd ed. München/Wien/New York: Zuckschwerdt Verlag; 2003.

    Google Scholar 

  • Shigemura K, Tanaka K, Matsumoto M, Nakano Y, Shirakawa T, Miyata M, Yamashita M, Arkawa S, Fujisama M. Post-operative infection and prophylactic antibiotic administration after radical cystectomy with orthotopic neobladder urinary diversion. J Infect Chemother. 2012;18(4):479–84.

    Article  CAS  PubMed  Google Scholar 

  • Sivarajan G, Prabhu V, Taksler GB, Laze J, Lepor H. Ten-year outcomes of sexual function after radical prostatectomy: results of a prospective longitudinal study. Eur Urol. 2014;65(1):58–65.

    Article  PubMed  Google Scholar 

  • Stadler TC, Siebels M. Therapie der erektilen Dysfunktion nach uro-onkologischen Eingriffen oder Strahlentherapie. In: Tumorzentrum München Manual, editor. Manual Urogenitale Tumoren. 4th ed. München/Wien/New York: W. Zuckschwerdt Verlag; 2008.

    Google Scholar 

  • Sullivan DH, Sun S, Walls RC. Protein-energy undernutrition amongm elderly hospitalized patients: a prospective study. JAMA. 1999;28(21):2013–2019.

    Article  Google Scholar 

  • Suriano F, Gallucci M, Flammia GP, Musco S, Alcini A, Imbalzano G, Dicuonzo G. Bacteriuria in patients with an orthotopic ileal neobladder: urinary tract infection or asymptomatic bacteriuria? BJU Int. 2008;101(12):1576–9.

    Article  PubMed  Google Scholar 

  • Tinelli A, Mynbaev OA, Tsin DA, Giorda G, Malvasi A, Guido M, Nezhat FR. Lymphocele prevention after pelvic laparoscopic lymphadenectomy by a collagen patch coated with human coagulation factors: a matched case control study. Int J Gynecol Cancer. 2013;23(5):956–63.

    Article  PubMed  Google Scholar 

  • Tomlinson J, Wright D. Impact of erectile dysfunction and its subsequent treatment with sildenafil: qualitative study. BMJ. 2004;328:1037. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC403839. Cited 2016 Dec 17

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tries J. Kegel exercises enhanced by biofeedback. J Enterostomal Ther. 1990;17(2):67–76.

    CAS  PubMed  Google Scholar 

  • Turk TM, Koleski FC, Albala DM. Incidence of urolithiasis in cystectomy patients after intestinal conduit or continent urinary diversion. World J Urol. 1999;17(5):305–7.

    Article  CAS  PubMed  Google Scholar 

  • Vahlensieck W., Gäck M., Gleißner J., Liedke S., Otto U., Sauerwein D.†, Schindler E., Schultheis H., Sommmer F., Templin R., Zellner M. Struktur- und Prozeßqualität der stationären urologischen Rehabilitation Urologe A 2005; 44(1): 51–56.

    Article  CAS  PubMed  Google Scholar 

  • Van der Aa F, Joniau S, van den Branden M, van Poppel H. Metabolic changes after urinary diversion. Adv Urol. 2011;2011:764325. https://doi.org/10.1155/2011/764325.

    PubMed  PubMed Central  Google Scholar 

  • Wagenlehner F, Pilatz A, Weidner W, Zwergel T, Zwergel U, Schlimmer P. Entzündung. In: Hautmann R, Gschwend JE, editors. Urologie. 5th ed. Berlin/Heidelberg: Springer; 2014.

    Google Scholar 

  • Weinberger V, Cibula D, Zikon M. Lymphocele: prevalence and management in gynecological malignancies. Expert Rev Anticancer Ther. 2014;14(3):307–17.

    Article  CAS  PubMed  Google Scholar 

  • Wiedemann A, Zumbé J. Situation der Physiotherapie in der Harninkontinenzbehandlung – Ergebnisse einer bundesweiten Umfrage GIH Referateband, 11. Deutscher Kongreß der GIH, Dresden; 1999.

    Google Scholar 

  • World Health Organisation. International classification of functioning, disability and health. Genf; 2001.

    Google Scholar 

  • Zellner M, Riedl R. Rehabilitation der Erektionsfunktion nach radikaler Prostatektomie. Potenzhilfen: Bessere Aufklärung schafft mehr Akzeptanz. Uro-News. 2008;10(3):28–34.

    Google Scholar 

  • Zellner M, Zellmann K, Strätz M. Uro-Onkologische Rehabilitation. In: Treiber U, Zaak D, editors. Manual urogenitale tumoren. 4th ed. München/Wien/New York: W. Zuckschwerdt; 2008.

    Google Scholar 

  • Zellner M. Inkontinenz nach radikaler Prostatektomie und Zystektomie. Sind apparatives Kontinenztraining und Ganzkörpervibration effektiv? Urologe. 2011;50(4):433–44.

    Article  CAS  PubMed  Google Scholar 

  • Zellner M, Ridderskamp D, Zanker F, Riedl R. Katabolie nach radikaler Zystektomie – Wirksamkeit einer hochdosierten Eiweißsubstitution. 40. Gemeinsame Tagung der Bayerischen Urologenvereinigung und der Österreichischen Gesellschaft für Urologie und Andrologie, Erlangen, 15 May 2014.

    Google Scholar 

  • Zellner M. Intermittierende Vakuumtherapie zur konservativen Behandlung postoperativer Lymphozelen nach radikaler Tumorchirurgie im kleinen Becken. 41. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie und der Bayerischen Urologenvereinigung, Linz, 11 June 2015–12. June 2015.

    Google Scholar 

  • Zettl S, Hartlapp J. Krebs und Sexualität. Ein Ratgeber für Krebspatienten und ihre Partner. St. Augustin: Weingärtner; 2008.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Abteilung Urologie | Neuro-Urologie, Johannesbad Fachklinik Bad Füssing, Bad Füssing, Germany

    Michael Zellner, David Ridderskamp & Mohamed Fawzy

Authors
  1. Michael Zellner
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. David Ridderskamp
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mohamed Fawzy
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael Zellner .

Editor information

Editors and Affiliations

  1. Dept. of Urology & Urologic Oncology, Hannover Medical School, Hannover, Germany

    Axel S. Merseburger

  2. Dept. of Urology, University of Regensburg St. Josef Medical Centre, Regensburg, Germany

    Maximilian Burger

Section Editor information

  1. der Universität Regensburg, Oberarzt der Klinik für Urologie, Regensburg, Germany

    Wolfgang Otto

  2. Departement of Urology, Weill Cornell Medical Center, New York, NY, USA

    Shahrokh F. Shariat

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Zellner, M., Ridderskamp, D., Fawzy, M. (2018). Qualified Rehabilitation After Radical Treatment for Bladder Cancer. In: Merseburger, A., Burger, M. (eds) Urologic Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-42603-7_30-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-42603-7_30-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42603-7

  • Online ISBN: 978-3-319-42603-7

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation