Urinary diversion in elderly patients

Spahn, Martin; Boxler, Silvan (2015). Urinary diversion in elderly patients. Der Urologe. Section A, 54(12), pp. 1753-1757. Springer 10.1007/s00120-015-4010-1

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BACKGROUND Bladder cancer represents one of the ten most prevalent cancers worldwide. More than 400,000 people worldwide are newly diagnosed every year. Within 2 years after diagnosis, 80 % of patients with muscle invasive bladder cancer without treatment die. METHODS The aggressive local surgical approach with a cystectomy is the therapy of choice. The median age of patients with de novo bladder cancer is 70 years. Thus bladder cancer is a cancer of the elderly. For demographical reasons, the number of eldery patients undergoing radical cystectomy will rise in the next few years. The type of urinary diversion is a major factor influencing perioperative morbidity and quality of life in these patients. Incontinent urinary diversions are preferentially used in daily practice. CONCLUSIONS There are only a few contraindications for orthotopic neobladder; however, age alone is not a contraindication. Patient selection and a nerve sparing approach are crucial in men and women to achieve excellent functional results with orthotopic neobladder in elderly patients.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology

UniBE Contributor:

Spahn, Martin and Boxler, Silvan

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1433-0563

Publisher:

Springer

Language:

German

Submitter:

Katharina Morgenegg

Date Deposited:

08 Feb 2016 16:07

Last Modified:

09 Feb 2016 22:13

Publisher DOI:

10.1007/s00120-015-4010-1

PubMed ID:

26704277

Uncontrolled Keywords:

Cystectomy; Ileocecal pouch; Neobladder, orthotopic; Pouch, catheterizable; Urinary bladder neoplasms

BORIS DOI:

10.7892/boris.75199

URI:

https://boris.unibe.ch/id/eprint/75199

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