Full Description
This book provides clear guidance on how to achieve excellent functional results and avoid failures when performing cystectomy and orthotopic bladder substitution. The opening sections present helpful checklists relating to patient selection, preoperative management, the procedures themselves, intraoperative measures, postoperative management, and actions to be taken in the event of various symptoms and complications. The remainder of the book focuses in detail on a variety of specific points of interest such as how and why to attempt a nerve-sparing cystectomy, the role of pelvic lymph node dissection, physical and physiological considerations relevant to reservoir construction, metabolic consequences of the incorporation of bowel into the urinary tract, preservation of renal function, and quality of life issues. The information provided may not only be instrumental to urologists, but also to specialized health care professionals, as well as the concerned patients.
Contents
Part I: Checklist: What to do and not to do Part II: Checklist: What to do if... Part III: Specific anesthesia during cystectomy to improve postoperative outcome.- Why to attempt a nerve-sparing cystectomy?- Seminal vesicle sparing cystectomy-what can be expected?- The role of pelvic lymph node dissection and its extent in patients with orthotopic bladder substitute.- Physical and physiological considerations for reservoir construction.- Bowel segments in the urinary tract - metabolic consequences.- Preservation of renal function.- Quality of life with orthotopic bladder substitution.
