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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 | URI: | https://ahro.austin.org.au/austinjspui/handle/1/11625 | DOI: | 10.1097/WON.0b013e31827759ea | Journal: | Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN | URL: | https://pubmed.ncbi.nlm.nih.gov/23222970 | Type: | Journal Article | Subjects: | Acidosis.etiology.therapy Artificial Organs.contraindications Carcinoma, Transitional Cell.surgery Counseling Cystectomy Humans Lymph Node Excision Nutritional Status Patient Selection Perioperative Nursing Postoperative Complications.etiology.therapy Specialties, Nursing Urinary Bladder Neoplasms.surgery Urinary Diversion.methods |
Appears in Collections: | Journal articles |
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