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Review
. 2020 Jun;14(2):57-65.
doi: 10.1159/000499258. Epub 2020 Jun 23.

The Role of Exenterative Surgery in Advanced Urological Neoplasms

Colla Cunneen  1 , Michael Kelly  1 , Gregory Nason  2 , Eanna Ryan  1 , Ben Creavin  1 , Des Winter  1
Affiliations
Review

The Role of Exenterative Surgery in Advanced Urological Neoplasms

Colla Cunneen et al. Curr Urol. 2020 Jun.

Abstract

Pelvic exenterative surgery is both complex and challenging, especially in the setting of locally recurrent disease. In recent decades, improved surgical techniques have facilitated more extensive resection of both locally advanced and recurrent pelvic malignancies, but its role in urological cancer surgery is highly selective. However, it remains an important part of the armamentarium for the management of bladder and prostate cancer cases where there is local invasion into adjacent organs or localized recurrence. Better diagnostics, reconstructive options and centralized care have reduced associated morbidity considerably, and it is still used rarely in palliative settings. Despite this, there is sparse prospective evidence reporting on long-term oncological or quality of life outcomes.

Keywords: Advanced pelvic malignancies; Bladder cancer; Pelvic exenteration; Prostate cancer; Surgical outcomes.

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