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Review
. 2022 Aug 4;12(8):1193.
doi: 10.3390/life12081193.

Neobladder "Function": Tips and Tricks for Surgery and Postoperative Management

Daniela Fasanella  1 , Michele Marchioni  1 , Luigi Domanico  2 , Claudia Franzini  2 , Antonino Inferrera  2 , Luigi Schips  1 , Francesco Greco  2
Affiliations
Review

Neobladder "Function": Tips and Tricks for Surgery and Postoperative Management

Daniela Fasanella et al. Life (Basel). .

Abstract

Orthotopic neobladder (ONB) reconstruction is a continent urinary diversion procedure increasingly used in patients with muscle-invasive bladder cancer following radical cystectomy (RC). It represents a valid alternative to the ileal duct in suitable patients who do not prefer a stoma and are motivated to undergo adequate training of the neobladder. Careful patient selection, taking into account the absolute and relative contraindications for ONB as well as an adequate recovery protocol after surgery are integral to the success of this procedure and the oncological and functional outcomes. The objective of this review is to summarize the current data on RC with ONB in terms of patient selection, preoperative preparation, surgical techniques and functional (continence and sexual activity) and oncological outcomes, with particular attention to the management of complications and the impact on quality of life (QoL).

Keywords: bladder cancer; complications; continence; functional outcomes; oncological outcomes; orthotopic neobladder; quality of life; robot-assisted radical cystectomy; urinary diversion.

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Conflict of interest statement

The authors have stated that they have no conflict of interest.

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