Radical cystectomy and urinary diversion in women: techniques, outcomes, and challenges-a narrative review.

ABSTRACT:

Background and objective

Standard radical cystectomy (RC) in women includes the removal of the bladder, urethra, uterus with the adnexa, and the anterior vaginal wall, thereby severely affecting the urinary, sexual, and reproductive system. To limit these detrimental effects, organ-sparing, including nerve-sparing approaches, have been developed. Health-related quality of life (HRQOL) and functional outcomes are, indeed, becoming increasingly central to the shared decision-making with the patient. The objectives of this narrative review are: (I) to review the current status of RC in women, including the use of different urinary diversions (UDs); (II) to discuss organ-sparing approaches and their impact on oncological and functional outcomes in women; (III) to discuss the impact of

SUBMITTER: von Deimling M 

PROVIDER: S-EPMC9732696 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature