Department of Urology, Kaiser Permanente Los Angeles Medical Center, 4900 Sunset Boulevard Fl 2, Los Angeles, CA, 90027, USA.
Curr Urol Rep. 2022 Sep;23(9):195-201. doi: 10.1007/s11934-022-01100-1. Epub 2022 Sep 3.
This article evaluates the historical influences, current use, surgical techniques, and recent evidence on outcomes for cystectomy performed for benign indications.
At the population level, cystectomy for benign indications has similar perioperative morbidity to radical cystectomy for cancer. Postoperative patient satisfaction is high and functional outcomes appear good, including sexual function. Patient regret about diversion choice is low provided decisions are well informed. Cystectomy is important both as a primary procedure for benign disease and as an adjunct to primary urinary diversion. Early morbidity remains high but long-term results are encouraging. Further studies are needed to guide patient decision-making, to help inform diversion choice, and to understand the long-term impact of surgery and diversion choice on quality of life.
本文评估了良性适应证行膀胱切除术的历史影响、当前应用、手术技术和近期结局证据。
在人群水平上，良性适应证行膀胱切除术的围手术期发病率与根治性膀胱切除术相似。术后患者满意度高，且功能结局良好，包括性功能。如果决策明智，患者对造口选择的后悔率较低。膀胱切除术既是良性疾病的主要治疗手段，也是初级尿流改道的辅助手段。早期发病率仍然较高，但长期结果令人鼓舞。需要进一步的研究来指导患者决策，帮助了解造口选择，并理解手术和造口选择对生活质量的长期影响。
