Radical cystectomy is the standard of care for muscle-invasive bladder cancer.
Continent urinary diversions utilizing both small and large bowel are becoming more prominent: therefore, the postoperative follow-up has to focus on different aspects. In the first instance after radical cystectomy functional issues with respect to potential stenosis, post-void residual urine and micturition disorders are important. In the early phase the oncological follow-up aims to detect local, urethral and systemic recurrences and new data show the importance of the first 3 years after surgery. Long-term follow-up focuses on metabolic aspects, such as cobalamin or bile acid deficits, acidosis and disorders of calcium and bone metabolism. Follow-up care should consider specific complications of different types of urinary diversions; however to date standardized follow-up guidelines are lacking.
Written by:
Degener S, Roth S, Mathers MJ, Ubrig B. Are you the author?
Klinik für Urologie und Kinderurologie, Helios Klinikum Wuppertal, Zentrum für Forschung in der klinischen Medizin (ZFKM), Universität Witten/Herdecke, Heusnerstr. 40, 42283, Wuppertal, Deutschland.
Reference: Urologe A. 2014 Feb;53(2):253-62; quiz 263-4.
doi: 10.1007/s00120-013-3376-1
PubMed Abstract
PMID: 24477880
Article in German.
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