Radical cystectomy (anterior exenteration) in the female patient.
Anterior exenteration in the female patient can be performed accurately with a disciplined anatomic approach. The lymphadenectomy provides staging for the carcinoma. Excision of the uterus, a portion of the vagina, and the urethra reduces the potential for pelvic recurrence. Vaginal reconstruction and continent urinary diversion provide a better quality of life with maintenance of sexual function and urinary continence.
Marshall
F F
FF
Division of Adult Urology, James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Treiger
B F
BF
D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D015653:Cystectomy / Q000379:methods*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D010388:Pelvis / Q000601:surgery; D011182:Postoperative Care; D011183:Postoperative Complications; D016683:Supine Position; D014521:Urethra / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D016476:Urinary Reservoirs, Continent / Q000379:methods; D014599:Uterus / Q000601:surgery; D014621:Vagina / Q000601:surgery