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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."
}
},
{
"@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."
}
},
{
"@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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Radical cystectomy is a complex surgery with better outcomes reported when performed at high-volume centers. This may lead to patients traveling farther for care. We examined the impact of travel dist...
A total of 220 patients undergoing radical cystectomy from 2015-2021 were retrospectively reviewed. Distance traveled to the treatment center by patient zip codes was classified as <12.5 miles, 12.5-4...
A total of 220 patients underwent radical cystectomy with complete 90-day follow-up. Of the patients 38.6% (85/220) were readmitted; 62.5% (53/85) presented to the treatment center or were transferred...
Increased travel distance did not impact early postoperative outcomes. Distance traveled may impact access to care, such as time to surgery or location of readmission to the treatment center postopera...
Radical cystectomy and urinary diversion are the standard surgical treatments for patients with muscle-invasive or high-risk, or recurrent non-muscle-invasive bladder cancer. Although this approach si...
The clinical data for 108 patients who received bilateral cutaneous ureterostomy with a single subumbilical stoma (ureterostomy with a single stoma group), cutaneous ureterostomy with two stomas (uret...
A significant difference in the operative time was found between the three groups (P = 0.001). No significant differences in pathological stage, survival status, perioperative complication rate, rehos...
A single subumbilical stoma for bilateral cutaneous ureterostomy after radical cystectomy may result in shorter surgery time, increased success rates for initial catheter removal, and lower medical ex...
This study aimed to compare perioperative and oncologic outcomes of extraperitoneal radical cystectomy (EPRC) and transperitoneal radical cystectomy (TPRC)....
A systematical search of multiple scientific databases was performed in September 2022. The systematic review and cumulative meta-analysis of the primary outcomes of interest were performed according ...
The review and analysis included eight studies with 989 participants. No significant differences were found between EPRC and TPRC in terms of operation time, estimated blood loss (EBL), hospital lengt...
Although EPRC had a higher incidence of lymphoceles than TPRC, it was found to have similar oncologic outcomes and fewer early complications, particularly in terms of postoperative gastrointestinal co...
Local tumor invasion depth has been associated with lymph node metastasis in urothelial carcinoma, and, for muscle-invasive bladder cancer (MIBC), pelvic lymph node dissection (PLND) is a critical ste...
A retrospective analysis of 13,652 cT2N0M0 patients who underwent PC or RC between 2004 and 2016 was performed using the National Cancer Database. Patients undergoing PC were stratified by the presenc...
From 2004 to 2016, PLND in PC increased from 44% to 57% with RC remaining over 90%. Compared to RC, PC was approximately twice as likely to be performed at community centers and approached laparoscopi...
PC patients had a significantly lower rate of PLND compared to RC and improved survival when performed versus PC alone. Furthermore, increased node yield was associated with a larger reduction of adju...
Although radical cystectomy (RC) with pelvic lymph node dissection (PLND) is the standard treatment of muscle invasive bladder cancer, it may cause lymphatic leakage. Recent studies describe lymphatic...
This was a retrospective analysis of patients who underwent LE after RC for bladder cancer between August 2017 and June 2023. The data was assessed for analysis at January 2024. The patients were divi...
We analyzed 45 patients who underwent LE after RC. Twenty-eight (62.2%) patients were identified as clinically successful. Four patients required re-embolization, but none required more than two sessi...
Our results suggest LE as a potentially effective procedure for controlling post-operative lymphatic leaks after RC, with few minor side effects. Patients exceeding a daily drainage of 1,000mL/day or ...
To identify and describe international practice in incontinence management after radical cystectomy and orthotopic neobladder....
A systematic scoping review following the methodology of the Joanne Briggs Institute was conducted in which the application searched 15 data sources to identify papers published in English, from 1979 ...
Of the 16 papers that met the eligibility criteria, articles in Eastern countries mainly focus on the effect of conservative treatment, while in Western countries, more attention is paid to the effect...
UI in neobladder patients is a distressing condition that is difficult to treat and often requires high-quality rehabilitation guidance and surgical intervention. Further research to address current k...
While radical cystectomy (RC) is the standard of care for muscle invasive bladder cancer (MIBC), partial cystectomy (PC) is an effective alternative in select patients. We sought to examine difference...
We identified patients diagnosed with cT2-4 bladder cancer who underwent RC or PC from 2003 to 2015 in the National Cancer Database (NCDB). Using inverse probability treatment weighting (IPTW) to cont...
A total of 22,534 patients met inclusion criteria, of which 6.9% (1,457) underwent PC. RC had longer median OS than PC (67.8 vs. 54.1 months) and on Cox regression analysis (HR 0.88, 95% CI, 0.80-0.95...
Among patients with clinically organ-confined MIBC, PC appears to afford similar survival outcomes to RC in a large national data set. The safety and tolerability of PC may warrant consideration in hi...
Interstitial cystitis/bladder pain syndrome (IC/BPS) presents a significant challenge for urologists in terms of management, owing to its chronic nature and adverse impact on patient quality of life. ...
To investigate clinical risk factors associated with postoperative deep incisional or organ/space surgical site infections (SSI) following radical cystectomy (RC) in a well characterized and large con...
We used the American College of Surgeons National Surgical Quality Improvement Program database to identify adult patients who underwent RC for bladder cancer between 2015 and 2020 (n = 13,081). We co...
Deep incisional or organ/space SSI risk increased with continent urinary diversion (HR = 1.61, 95% CI: 1.38-1.88; P < 0.001), obesity (HR = 1.60, 95% CI: 1.35-1.90; P < 0.001), diabetes mellitus (HR =...
Postoperative deep incisional or organ/space SSIs following RC occur more frequently in patients who were obese, diabetic, functionally dependent before surgery, and those who underwent continent urin...
To report perioperative and long-term postoperative outcomes of cystectomy patients with ileal conduit (IC) urinary diversion undergoing parastomal hernia (PSH) repair....
We reviewed patients who underwent cystectomy and IC diversion between 2003 and 2022 in our center. Baseline variables, including surgical approach of PSH repair and repair technique, were captured. M...
Thirty-six patients with a median (IQR) age of 79 (73-82) years were included. The median time between cystectomy and PSH repair was 30 (14-49) months. Most PSH repairs (32/36, 89%) were performed ele...
In this report of one of the largest series of PSH repair in the Urology literature, 47% of patients had a recurrence following hernia repair with a median follow-up time of 2 years. There was no sign...