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"name": "Comment diagnostiquer un cancer de la vessie ?",
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"text": "Un cystoscopie, des biopsies et des examens d'imagerie sont utilisés."
}
},
{
"@type": "Question",
"name": "Quels tests précèdent une cystectomie ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analyses sanguines, des examens d'imagerie et une évaluation de la fonction rénale."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une cystectomie ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Sang dans les urines, douleurs pelviennes, et symptômes urinaires persistants."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'échographie dans le diagnostic ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'échographie aide à visualiser la vessie et détecter des anomalies."
}
},
{
"@type": "Question",
"name": "Quand une cystoscopie est-elle nécessaire ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle est nécessaire pour examiner la vessie et prélever des biopsies."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes d'un cancer de la vessie ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Hématurie, douleurs lors de la miction, et besoin fréquent d'uriner."
}
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"@type": "Question",
"name": "Comment se manifeste une infection urinaire ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Brûlures, besoin urgent d'uriner, et urine trouble ou malodorante."
}
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{
"@type": "Question",
"name": "Quels signes indiquent une complication post-opératoire ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Fièvre, douleurs abdominales sévères, ou saignements excessifs."
}
},
{
"@type": "Question",
"name": "Quels symptômes nécessitent une consultation urgente ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Sang dans les urines, douleurs intenses, ou incapacité à uriner."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une obstruction urinaire ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Difficulté à uriner, douleur abdominale, et distension abdominale."
}
},
{
"@type": "Question",
"name": "Comment prévenir le cancer de la vessie ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter le tabac, hydrater suffisamment et réduire l'exposition aux produits chimiques."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque sont évitables ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tabagisme et l'exposition à des produits chimiques industriels."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'hydratation dans la prévention ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une bonne hydratation aide à diluer les substances cancérigènes dans l'urine."
}
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{
"@type": "Question",
"name": "Comment le dépistage aide-t-il à prévenir le cancer ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le dépistage précoce permet de détecter des anomalies avant qu'elles ne deviennent graves."
}
},
{
"@type": "Question",
"name": "Quels aliments peuvent réduire le risque ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les fruits, légumes et aliments riches en antioxydants peuvent aider."
}
},
{
"@type": "Question",
"name": "Quelles sont les indications pour une cystectomie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Cancer de la vessie, lésions graves ou maladies de la vessie."
}
},
{
"@type": "Question",
"name": "Quels types de cystectomie existent ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Cystectomie partielle et cystectomie radicale, selon l'étendue de la maladie."
}
},
{
"@type": "Question",
"name": "Quels soins post-opératoires sont nécessaires ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Surveillance des signes vitaux, gestion de la douleur et soins des plaies."
}
},
{
"@type": "Question",
"name": "Comment se déroule une cystectomie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle se fait sous anesthésie générale, avec une incision abdominale ou laparoscopique."
}
},
{
"@type": "Question",
"name": "Quels traitements alternatifs à la cystectomie ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Chimiothérapie, radiothérapie ou immunothérapie selon le stade du cancer."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une cystectomie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Infections, saignements, et complications urinaires comme l'incontinence."
}
},
{
"@type": "Question",
"name": "Comment gérer une infection post-opératoire ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Antibiotiques et soins appropriés de la plaie sont nécessaires."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une complication grave ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Fièvre élevée, douleurs abdominales intenses, ou saignements importants."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications après une cystectomie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Suivre les instructions post-opératoires et surveiller les signes d'infection."
}
},
{
"@type": "Question",
"name": "Quels sont les effets à long terme d'une cystectomie ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Incontinence, changements dans la fonction urinaire et risque accru d'infections."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque du cancer de la vessie ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Tabagisme, exposition à des produits chimiques, et antécédents familiaux."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le risque de cancer de la vessie augmente avec l'âge, surtout après 55 ans."
}
},
{
"@type": "Question",
"name": "Quel rôle joue le sexe dans le risque de cancer de la vessie ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les hommes sont plus susceptibles de développer un cancer de la vessie que les femmes."
}
},
{
"@type": "Question",
"name": "Comment les infections urinaires fréquentes affectent-elles le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des infections urinaires répétées peuvent augmenter le risque de cancer de la vessie."
}
},
{
"@type": "Question",
"name": "Quel impact a l'alimentation sur le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation pauvre en fruits et légumes peut augmenter le risque de cancer."
}
}
]
}
]
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To determine the effectiveness of pelvis diameters in determining postoperative outcomes in men who underwent open radical cystectomy + urinary diversion, it is aimed to predict the factors that may a...
A total of 79 radical cystectomy patients operated in our institution with preoperative computed tomography (CT) were included the study. Pelvic dimensions; symphysis angle (SA), upper conjugate, lowe...
Total of 96 complications were observed in 52 of the 79 patients in ninety days (65,8%) with a mean age of 68.25 years. There were significant correlations between SA and body mass index (BMI) with op...
Pelvic dimensions are not significant with minor or major complications. However, operative time may be associated with SA. Also, narrow and deep pelvis may increase the risk of positive surgical marg...
Radical cystectomy is a gold-standard treatment for muscle-invasive bladder cancer. We recently introduced robot-assisted radical cystectomy (RARC) with perioperative enhanced recovery after surgery (...
Primary carcinosarcoma of the bladder is a rare and highly aggressive tumor, representing less than 1% of all bladder neoplasms. There is no specific treatment guideline has for carcinosarcoma of the ...
We report a case of 65-year-old Moroccan man, presented with macroscopic hematuria, pollakiuria and painful urination. Histological analysis showed a biphasic epithelial and mesenchymal proliferation,...
Carcinosarcoma of the urinary bladder is a rare and aggressive tumor regardless treatment. A multidisciplinary management based on radical cystectomy and combined adjuvant treatments can improve progn...
The Malnutrition Universal Screening Tool integrates body mass index, unintentional weight loss and present illness to assess risk for malnutrition. The predictive role of 'MUST' among patients underg...
We conducted a multicenter retrospective analysis of 291 patients who underwent radical cystectomy in 6 medical centers between 2015 and 2019. Patients were stratified to risk groups according to the ...
Median age of the study cohort was 69 years (IQR 63-74). Median duration of follow up for survivors was 33 months (IQR 20-43). Thirty-day major postoperative complications rate was 17%. Baseline chara...
High 'MUST' scores are associated with decreased survival in patients after radical cystectomy. Thus, the 'MUST' score may serve as a preoperative tool for patient selection and nutritional interventi...
Radical cystectomy with urinary diversion is a major urological surgery burdened both by a high rate of short- and long-term complications and by a high emotional and psychological impact. Post-operat...
This is a before-after study comparing the historical group (n. 77) of radical cystectomies following a peri-operative standard of care with the prospective observational group (n. 83) following our E...
Patients treated following the ERAS protocol presented less intra-operative blood loss (p < 0.001) and less intra-operative fluid infusions (p < 0.001). Time of first flatus was shorter in the ERAS gr...
The application of an opioid-free ERAS protocol to patients undergoing open radical cystectomy was associated, as compared with prior traditional care, with significant reductions of recovery time and...
To evaluate the oncological and perioperative outcomes from a large, single-centre, robot-assisted radical cystectomy (RARC) cohort performed with intracorporeal urinary diversion (ICUD)....
Patients who underwent RARC because of bladder cancer or recurrent carcinoma in situ from June 2009 until August 2020 at Herlev and Gentofte Hospital were prospectively and consecutively included. Kap...
A total of 542 patients were included. The median (interquartile range) follow-up was 5.3 (2.73-8.06) years. In all, 78 patients (14%) were converted to open surgery; 15 (3%) during cystectomy and 63 ...
A RARC with ICUD is feasible as a standard surgical procedure for bladder cancer with only a few patients converted to open surgery. In our hands reconstruction with a neobladder was a strong predicto...
The aim of the study was to evaluate genital sparing radical cystectomy surgery in female patients from the point of view of both oncologic and functional outcomes (with emphasis on urinary and sexual...
Between January 2014 and January 2018, 14 female patients underwent radical cystectomy with preservation of genital organs (the entire vagina, uterus, fallopian tubes, ovaries) and orthotopic urinary ...
Considering oncological outcomes, histologic examination reported urothelial carcinoma in 13/14 patients; 8/13 patients (61.5%) had high grade T1 stage, 3/13 patients (23%) had high grade T2 stage and...
Our study aims to demonstrate that genital-sparing radical cystectomy is a safe surgery in terms of oncologic outcomes and, most importantly, that it is beneficial in terms of urinary and sexual funct...
Several randomized control trials (RCTs) have been published comparing open (ORC) with robot-assisted radical cystectomy (RARC). However, uncertainty persists regarding this issue, as evidences and re...
To investigate the influence of preoperative smoking history on the survival outcomes and complications in a cohort from a large multicenter database. Many patients who undergo radical cystectomy (RC)...
Differences have often been reported in the outcomes of bladder cancer (BC) patients according to gender....
This study aims to provide data on patients undergoing radical cystectomy (RC) in a high-volume tertiary urologic center and to assess whether gender discrepancies do exist in terms of surgical option...
Consecutive BC patients treated between 2016 and 2020 at a single center (Careggi University Hospital, Florence, Italy) were included in the study. The impact of gender on disease stage at diagnosis, ...
The study series comprised 447 patients (85 females and 362 males). At a median follow-up of 28.3 months (IQR: 33.5), OS was 52.6% and cancer-specific survival was 67.6%. Significant differences in OS...
After adjustment for pathologic tumor stage and treatment modalities, female and male patients showed similar oncologic outcomes. Further studies should be undertaken to evaluate functional results in...