Kanaroglou Androniki, Shayegan Bobby
Senior resident, Division of Urology;
Can Urol Assoc J. 2009 Dec;3(6 Suppl 4):S211-4. doi: 10.5489/cuaj.1198.
The standard of care in the management of invasive urothelial cancer of the bladder is radical cystectomy and pelvic lymphadenectomy. Although uncommon, recurrence of disease in the retained urethra following cystectomy carries a poor prognosis. The need for assessment of risk of recurrence is greater now than ever with wider adoption of orthotopic bladder substitution. This review will address the contemporary management of the urethra following cystectomy for urothelial cancer.
膀胱浸润性尿路上皮癌管理的标准治疗方法是根治性膀胱切除术和盆腔淋巴结清扫术。虽然不常见,但膀胱切除术后保留尿道的疾病复发预后较差。随着原位膀胱替代术的更广泛应用,现在对复发风险评估的需求比以往任何时候都更大。本综述将探讨尿路上皮癌膀胱切除术后尿道的现代管理。