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Criteria for a neobladder in a female
When considering women for orthotopic lower urinary tract reconstruction, three important criteria must be fulfilled:
1 The external sphincter mechanism must be saved to provide continence and allow volitional voiding via the urethra.
2 The urethral support and the pelvic floor musculature have an important role in the urinary continence mechanism and must remain intact.
3 Cancer surgery must not be compromised by bladder replacement at the urethroenteric anastomosis, retained urethra, or surgical margins.
If these three criteria can be safely maintained, female bladder cancer patients may be considered appropriate candidates for orthotopic urinary tract reconstruction.
need a really good doc wouldn’t you say?
Pat