title: Robot-assisted radical cystoprostatectomy in the post-radiation and chemotherapy patient.
abstract: We report a case of successful salvage radical cystoprostatectomy (RRCP) on a patient with recurrent high-grade T2 transitional cell carcinoma following external-beam radiation and systemic chemotherapy. The effect on tissue planes and the resulting adhesions after external radiation are well-known. While RRCPs have been successfully completed in many academic centers, there have been no reports of using this approach for salvage cystectomy after radiation. The RRCP was performed without complications, and was followed by an extended bilateral pelvic lymph node dissection and creation of an ileal conduit via the midline extraction incision.
authors.affiliation: Department of Urology, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY, USA.
authors.forename: G
authors.initials: G
authors.lastname: Joel DeCastro
authors.affiliation: Department of Urology, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY, USA.
authors.forename: Mitchell C
authors.initials: MC
authors.lastname: Benson
authors.affiliation: Department of Urology, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY, USA. kb2388@columbia.edu.|, 161 Fort Washington Ave. 11th Floor, New York, NY, 10023, USA. kb2388@columbia.edu.
authors.forename: Ketan K
authors.initials: KK
authors.lastname: Badani
keywords: Bladder cancer; External-beam radiation; Robot-assisted radical cystoprostatectomy