Home Forums All Categories Women and Bladder Cancer Criteria for a neobladder in a female

  • Criteria for a neobladder in a female

    Posted by on January 19, 2010 at 10:52 pm

    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

    mmc replied 15 years ago 3 Members · 2 Replies
  • 2 Replies
  • mmc's avatar

    mmc

    Member
    January 21, 2010 at 7:18 pm

    Knowing what I know today, I think I’d tend to recommend the Indiana Pouch for women. I know I’m not a women but I’m fine with you ladies commenting on my “men related” stuff so I figure you will probably be ok with me commenting on women related issues.

    Even minor complications like I have would be a bigger pain for women. For example, I have to catheterize now every time I go to the bathroom. For me, that’s not such a huge deal, but I would expect that the risk of infection for women (especially when we talk about public restrooms) would be a good bit higher. My catheter and I are nowhere near that toilet seat when I put a catheter in.

    Given that women have shorter urethras, there are much higher continence risks (I believe both incontinence and hypercontinence).

    Mike


    Age 54
    10/31/06 dx CIS (TisG3) non-invasive (at 47)
    9/19/08 TURB/TUIP dx Invasive T2G3
    10/8/08 RC neobladder(at 49)
    2/15/13 T4G3N3M1 distant metastases(at 53)
    9/2013 finished chemo -cancer free again
    1/2014 ct scan results….distant mets
    2/2014 ct result…spread to liver, kidneys, and lymph system

    My opinions are my own and do not reflect the opinion of ABLCS or anyone else. I am not a doctor nor do I play one on TV.
  • webs's avatar

    webs

    Member
    January 21, 2010 at 4:32 pm

    A good doc would definitely be key. ;)

    Webs

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