Dominic Lee1, Philippe Zimmern2. 1. Department of Urology, St. George Hospital, Gray Street, Kogarah, NSW, 2217, Australia. 2. Department of Urology, UT Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, JA5- 130 C, Dallas, TX, 75390-9110, USA. Philippe.Zimmern@utsouthwestern.edu.
Abstract
PURPOSE OF REVIEW: This article explores the anatomy, management options, and outcomes of pelvic organ prolapse with a female cystectomy patient. RECENT FINDINGS: There is a lack of data on surgical management outcomes for prolapse following radical cystectomy. However, most case series from tertiary referral centers show reasonable results irrespective of route of repair. As expected, the surgical planes and the reorientation of the bowel loop for urinary diversion makes any pelvic reconstruction a potential hazard and requires a high level of expertise and counseling to the patient in regard to the management of expectations. Pelvic organ prolapse following radical cystectomy is uncommon but presents a significant challenge to the reconstructive surgeon.
PURPOSE OF REVIEW: This article explores the anatomy, management options, and outcomes of pelvic organ prolapse with a female cystectomy patient. RECENT FINDINGS: There is a lack of data on surgical management outcomes for prolapse following radical cystectomy. However, most case series from tertiary referral centers show reasonable results irrespective of route of repair. As expected, the surgical planes and the reorientation of the bowel loop for urinary diversion makes any pelvic reconstruction a potential hazard and requires a high level of expertise and counseling to the patient in regard to the management of expectations. Pelvic organ prolapse following radical cystectomy is uncommon but presents a significant challenge to the reconstructive surgeon.
Authors: Nathan Littlejohn; Joshua A Cohn; Casey G Kowalik; Melissa R Kaufman; Roger R Dmochowski; W Stuart Reynolds Journal: Curr Urol Rep Date: 2017-01 Impact factor: 3.092
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