Muscle Invasive Bladder Cancer

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Transurethral resection biopsy of the prostaticand apical margin status at radicalcystoprostatectomyFinal margin negative 94%TUR biopsy pos49With Diffuse CISFrozen sectionDone 17Frozen sectionNot done 32Positive 1Negative 16Urethrectomy 13Final margin neg1Final marginNeg 15Pos 1 (CIS)Final margin neg30Final margin pos2
TUR Prostatic Urethra and ApicalUrethra Margin Status• A positive TUR biopsy, while having a highpositive predictive value for prostatic TCC,has a very low positive predictive value for theapical margin status• TUR biopsy findings may be used to counselpatients regarding likelihood of orthtopicneobladder
Page 1: Open Radical Cystectomy Tips andTri
Page 7: Radical CystectomyHow Much to Take?
Page 13 and 14: Mobilize theSigmoid Mesentery• Di
Page 15 and 16: Is there a stage benefit in perform
Page 17 and 18: Is there a stage benefit in perform
Page 19 and 20: PLND BoundariesStandard Dissection
Page 21 and 22: Pre-Sciatic Fossaaka Fossa of Marse
Page 23: Tuttle (Singley) forceps
Page 28: Expose the External Iliac Vessels
Page 32: Lateral pedicle• The lymph nodebe
Page 42 and 43: Rationale for ExtendedPelvic and Il
Page 45: Transurethral resection biopsy of t
Page 49 and 50: What About Prostate ApicalSparing?
Page 51: Female Urethra SparingIndications
Page 55 and 56: Opening Posterior VaginaUterusCervi
Page 57 and 58: Preserve Distal Anterior VaginaUret
Page 59 and 60: Division of UrethraUrethraBladder n
Page 61 and 62: Using the Omentum• Cover the abdo
Page 64 and 65: Secure pedicle to levator muscles w
Page 66: Summary• Pre-sciatic (Fossa of Ma

Muscle Invasive Bladder Cancer

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