Norris Comprehensive Cancer Center, USC Institute of Urology, 1441 Eastlake Ave, Suite 7416, CA 90089, USA.
Expert Rev Anticancer Ther. 2011 Jun;11(6):941-8. doi: 10.1586/era.11.19.
Radical cystectomy represents the gold-standard of treatment for invasive bladder cancer. Following cystectomy, various options for urinary diversion may be offered to patients. This article represents an overview of the history of urinary diversion, explains the current selection criteria used at one of the most experienced bladder cancer centers worldwide, and provides an update on the current understanding of continence mechanisms. Furthermore, we review the current literature on quality of life for patients with different forms of urinary diversion. Excellent functional results can be achieved with continent forms of urinary diversion. It is important to consider the relative and absolute contraindications when choosing any form of urinary diversion. Proper patient selection and thorough standardized preoperative counseling is critical in achieving optimal results.
根治性膀胱切除术是治疗浸润性膀胱癌的金标准。膀胱切除术后，可能会为患者提供各种尿路改道选择。本文概述了尿路改道的历史，解释了全球最有经验的膀胱癌中心之一目前使用的选择标准，并提供了对控尿机制的最新理解。此外，我们还回顾了不同尿路改道方式患者生活质量的现有文献。采用控尿形式的尿路改道可以获得极佳的功能结果。在选择任何形式的尿路改道时，都需要考虑相对和绝对禁忌证。选择合适的患者并进行全面标准化的术前咨询对于获得最佳结果至关重要。
