Pelvic Organ Preservation in Non-muscle-invasive Bladder Cancer: Less Is More.
Non–muscle-invasive bladder cancer
Oncological outcomes
Ovary preservation
Quality of life
Radical cystectomy
Sexual function
Journal
European urology focus
ISSN: 2405-4569
Titre abrégé: Eur Urol Focus
Pays: Netherlands
ID NLM: 101665661
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
08
02
2023
revised:
20
03
2023
accepted:
21
04
2023
medline:
31
7
2023
pubmed:
5
5
2023
entrez:
4
5
2023
Statut:
ppublish
Résumé
Radical cystectomy (RC) is a treatment option for high-risk non-muscle-invasive bladder cancer (NMIBC) but is associated with high morbidity and a negative impact on quality of life. Reproductive or pelvic organ-sparing cystectomy (ROSC) techniques have emerged as a potential strategy to mitigate some potential effects of standard RC. Here we discuss current knowledge regarding oncological, functional, and sexual function outcomes associated with ROSC and their applicability in NMIBC. These outcomes can be used to make informed clinical decisions regarding cystectomy technique in appropriately staged and selected patients with NMIBC. PATIENT SUMMARY: We reviewed results for bladder cancer control, urinary function, and sexual function after removal of the bladder with and without techniques to spare reproductive or pelvic organs. We found evidence of better sexual function outcomes with a sparing approach without compromise of cancer control. Further studies are needed to assess urinary function and pelvic floor-related outcomes.
Identifiants
pubmed: 37142535
pii: S2405-4569(23)00103-7
doi: 10.1016/j.euf.2023.04.006
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
571-574Informations de copyright
Copyright © 2023 European Association of Urology. Published by Elsevier B.V. All rights reserved.