title: Improving selection of appropriate urinary diversion following radical cystectomy for bladder cancer.
abstract: Radical cystectomy represents the gold-standard of treatment for invasive bladder cancer. Following cystectomy, various options for urinary diversion may be offered to patients. This article represents an overview of the history of urinary diversion, explains the current selection criteria used at one of the most experienced bladder cancer centers worldwide, and provides an update on the current understanding of continence mechanisms. Furthermore, we review the current literature on quality of life for patients with different forms of urinary diversion. Excellent functional results can be achieved with continent forms of urinary diversion. It is important to consider the relative and absolute contraindications when choosing any form of urinary diversion. Proper patient selection and thorough standardized preoperative counseling is critical in achieving optimal results.
authors.affiliation: Norris Comprehensive Cancer Center, USC Institute of Urology, 1441 Eastlake Ave, Suite 7416, CA 90089, USA. siadaneshmand@yahoo.com
authors.forename: Siamak
authors.initials: S
authors.lastname: Daneshmand
authors.forename: Georg
authors.initials: G
authors.lastname: Bartsch
mesh_terms: D000818:Animals; D000075202:Contraindications; D003376:Counseling; D015653:Cystectomy / Q000379:methods*; D006801:Humans; D018579:Patient Selection; D011300:Preoperative Care / Q000379:methods; D011788:Quality of Life; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*