Bladder replacement following radical cystectomy is widely practiced and in some centers has become the standard method of urinary diversion when possible, rather than the traditional ileal conduit.
To minimize the impact of cystectomy and bladder replacement on quality of life and to obtain optimal functional results, postoperative care must be comprehensive and multidisciplinary. Critical team members include the surgeon, urologic nurses, WOC nurses, and allied health care providers such as physiotherapists. This article highlights postoperative considerations for patients undergoing radical cystectomy with orthotopic neobladder construction. The common issues and complications that arise are discussed with a focus on strategies to optimize outcomes.
Written by:
Herdiman O, Ong K, Johnson L, Lawrentschuk N. Are you the author?
Austin Health, Urology Unit, Department of Surgery, University of Melbourne, Melbourne, Victoria, Australia; Austin Health, Urology Unit, Department of Surgery, University of Melbourne, Melbourne, Victoria, Australia; Continence Physiotherapist, Eastern Continence and Pelvic Floor, Nth Ringwood, Victoria, Australia; Austin Health, Urology Unit, Department of Surgery, University of Melbourne, and Ludwig Institute for Cancer Research, Austin Health, Melbourne, Victoria, Australia.
Reference: J Wound Ostomy Continence Nurs. 2013 Mar;40(2):171-180.
doi: 10.1097/WON.0b013e31827e8499
PubMed Abstract
PMID: 23466722
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