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Title: Orthotopic bladder substitution (neobladder): part I: indications, patient selection, preoperative education, and counseling.
Austin Authors: Ong, Kevin;Herdiman, Olivia;Johnson, Liana;Lawrentschuk, Nathan
Affiliation: Austin Health, Urology Unit, Department of Surgery, University of Melbourne, Melbourne, Victoria, Australia
Issue Date: 2-Jan-2013
Publication information: Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society / Wocn; 40(1): 73-82
Abstract: Bladder substitution following radical cystectomy for urothelial cancer (transitional cell carcinoma) has become increasingly common and in many centers has evolved to become the standard method of urinary diversion. In determining the best type of urinary diversion for a specific patient, consideration must be given to both the morbidity associated with surgery and the potential positive impact on the patient's quality of life. Decision-making and perioperative care is ideally multidisciplinary, involving physicians and nurse specialists in urology, continence, and ostomy therapy. Physiotherapists may also be involved for pelvic floor muscle retraining. This article highlights preoperative considerations for patients undergoing radical cystectomy with a focus on issues specific to orthotopic bladder substitution as the method of urinary diversion. The second article in this 2-part series will outline postoperative strategies to manage these patients.
Gov't Doc #: 23222970
DOI: 10.1097/WON.0b013e31827759ea
Journal: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN
Type: Journal Article
Subjects: Acidosis.etiology.therapy
Artificial Organs.contraindications
Carcinoma, Transitional
Lymph Node Excision
Nutritional Status
Patient Selection
Perioperative Nursing
Postoperative Complications.etiology.therapy
Specialties, Nursing
Urinary Bladder
Urinary Diversion.methods
Appears in Collections:Journal articles

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