PRACTICE PATTERNS FOR IMPROVING OUTCOMES IN WOMEN WITH ILEAL NEOBLADDER: AN EVIDENCE-BASED ANALYSIS

摘要: Introduction: The aim of this review is to provide practice pattern on how obtain best possible oncological and functional outcomes in women with orthotopic neobladder substitutes. Evidence Synthesis: treating surgeon has balance risks as well patients preferences the final decision must be based consent between patient. Long- term survival can achieved majority even extravesical, node-negative disease. Therefore, surgeons should not reluctant proceed an ileal locally advanded tumour stage excluding T4b stage, any positive soft tissue surgical margin bulky lymph node During preoperative work-up, a bladder neck biopsy may still candidates for unless carefully obtained full-thickness urethra reveals evidence malignancy. key issue follow-up achieve capacity 400-500mL, residual free voiding sterile urine elimination outlet or upper tract obstruction. Medical conditions (i.e. arterial hypertension, diabetes mellitus) also cause renal deterioration long-term therefore demand early thorough treatment. Conclusions: clinical background urologist paramount importance appropriate patient selection, accurate performance adequate monitoring neobladders. A high level compliance willingness undergo examinations at regular intervals mandatory improved outcomes. ABSTRACT