Prevention and Management of Complications Following Radical Cystectomy for Bladder Cancer

Nathan Lawrentschuk, Renzo Colombo, Oliver W. Hakenberg, Seth P. Lerner, Wiking Månsson, Arthur Sagalowsky, Manfred P. Wirth

Research output: Contribution to journalArticle

Abstract

Context: This review focuses on the prevention and management of complications following radical cystectomy (RC) for bladder cancer (BCa). Objective: We review the current literature and perform an analysis of the frequency, treatment, and prevention of complications related to RC for BCa. Evidence acquisition: A Medline search was conducted to identify original articles, reviews, and editorials addressing the relationship between RC and short- and long-term complications. Series examined were published within the past decade. Large series reported on multiple occasions (Lee [1], Meyer [2], and Chang and Cookson [3]) with the same cohorts are recorded only once. Quality of life (QoL) and sexual function were excluded. Evidence synthesis: The literature regarding prophylaxis, prevention, and treatment of complications of RC in general is retrospective, not standardised. In general, it is of poor quality when it comes to evidence and is thus difficult to synthesise. Conclusions: Progress has been made in reducing mortality and preventing complications of RC. Postoperative morbidity remains high, partly because of the complexity of the procedures. The issues of surgical volume and standardised prospective reporting of RC morbidity to create evidence-based guidelines are essential for further reducing morbidity and improving patients' QoL.

Original languageEnglish
Pages (from-to)983-1001
Number of pages19
JournalEuropean Urology
Volume57
Issue number6
DOIs
Publication statusPublished - Jun 2010

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Keywords

  • Adverse effects
  • Bladder carcinoma
  • Cystectomy
  • Review
  • Surgery
  • Urology

ASJC Scopus subject areas

  • Urology

Cite this

Lawrentschuk, N., Colombo, R., Hakenberg, O. W., Lerner, S. P., Månsson, W., Sagalowsky, A., & Wirth, M. P. (2010). Prevention and Management of Complications Following Radical Cystectomy for Bladder Cancer. European Urology, 57(6), 983-1001. https://doi.org/10.1016/j.eururo.2010.02.024