[Follow-up care - consequences of urinary diversion after bladder cancer].
Radical cystectomy is the standard of care for muscle-invasive bladder cancer. Continent urinary diversions utilizing both small and large bowel are becoming more prominent: therefore, the postoperative follow-up has to focus on different aspects. In the first instance after radical cystectomy functional issues with respect to potential stenosis, post-void residual urine and micturition disorders are important. In the early phase the oncological follow-up aims to detect local, urethral and systemic recurrences and new data show the importance of the first 3 years after surgery. Long-term follow-up focuses on metabolic aspects, such as cobalamin or bile acid deficits, acidosis and disorders of calcium and bone metabolism. Follow-up care should consider specific complications of different types of urinary diversions; however to date standardized follow-up guidelines are lacking.
Klinik für Urologie und Kinderurologie, Helios Klinikum Wuppertal, Zentrum für Forschung in der klinischen Medizin (ZFKM), Universität Witten/Herdecke, Heusnerstr. 40, 42283, Wuppertal, Deutschland, stephan.degener@helios-kliniken.de.
S
S
Degener
S
S
Roth
M J
MJ
Mathers
B
B
Ubrig
D006801:Humans; D011182:Postoperative Care / Q000379:methods*; D001749:Urinary Bladder Neoplasms / Q000150:complications* / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects* / Q000379:methods; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*