title: Orthotopic urinary diversion after radical cystectomy in treatment of muscle invasive bladder cancer.
abstract: Surgical treatment of invasive carcinoma of the bladder in males includes total cystectomy removal of the prostate, seminal vesicles, and the distal parts of the urethers and the pelvic lymph node dissection as well. At this moment it is not possible to recommend a particular type of urinary diversion, but today in clinical practice commonly used derivative are ileal orthotopic neobladder as the continent one and ileal conduit as non-continent urinary diversion. Continent urinary diversion after radical cystectomy are the result of the application of technological innovation in surgery, but also knowledge, imagination and skill of well trained urologist. This type of operation significantly improves the quality of life in patients who underwent radical cystectomy, and the proposal is to operate whenever there is a possibility for this type of procedure. Also it is very important, during surgery to respect oncological principles, of complete removal of tumorous tissue and that the functional principle of ensur- ing that the patients have daytime and also nighttime continence later on after the surgery.
authors.forename: Hadži-Djokić
authors.initials: HD
authors.lastname: Jovan
authors.forename: Andrejević
authors.initials: A
authors.lastname: Vladan
authors.forename: Pejčić
authors.initials: P
authors.lastname: Tomislav
authors.forename: Aćimović
authors.initials: A
authors.lastname: Miodrag
authors.forename: Babić
authors.initials: B
authors.lastname: Uroš
authors.forename: Stanić
authors.initials: S
authors.lastname: Miodrag
authors.forename: Džamić
authors.initials: D
authors.lastname: Zoran
mesh_terms: D015653:Cystectomy / Q000009:adverse effects / Q000379:methods; D065426:Cytoreduction Surgical Procedures; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D011183:Postoperative Complications / Q000517:prevention & control* / Q000523:psychology; D011788:Quality of Life; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D016476:Urinary Reservoirs, Continent