TY - JOUR
T1 - A Systematic Review of Ileal Conduit and Neobladder Outcomes in Primary Bladder Cancer
AU - Crozier, Jack
AU - Hennessey, Derek
AU - Sengupta, Shomik
AU - Bolton, Damien
AU - Lawrentschuk, Nathan
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Treatment for muscle invasive bladder cancer with curative intent includes radical cystectomy and urinary diversion. Using PRISMA guidelines, we conducted a systematic review assessing differences in patient selection, operative parameters, complications, and quality of life between ileal conduit and neobladder cohorts. Ileal conduit cohorts have more advanced age and disease, more comorbidities and complications, and poorer quality of life. Ileal conduit surgery is associated with adverse patient selection that inhibits reasonable comparison of outcomes with neobladder cohorts. Despite this, we observe longer operative times and hospital stays in neobladder cohorts, perhaps reflecting greater technical difficulty and the need for postoperative bladder training.
AB - Treatment for muscle invasive bladder cancer with curative intent includes radical cystectomy and urinary diversion. Using PRISMA guidelines, we conducted a systematic review assessing differences in patient selection, operative parameters, complications, and quality of life between ileal conduit and neobladder cohorts. Ileal conduit cohorts have more advanced age and disease, more comorbidities and complications, and poorer quality of life. Ileal conduit surgery is associated with adverse patient selection that inhibits reasonable comparison of outcomes with neobladder cohorts. Despite this, we observe longer operative times and hospital stays in neobladder cohorts, perhaps reflecting greater technical difficulty and the need for postoperative bladder training.
UR - http://www.scopus.com/inward/record.url?scp=84992397232&partnerID=8YFLogxK
U2 - 10.1016/j.urology.2016.06.034
DO - 10.1016/j.urology.2016.06.034
M3 - Review Article
AN - SCOPUS:84992397232
SN - 0090-4295
VL - 96
SP - 74
EP - 79
JO - Urology
JF - Urology
ER -