Muscle Invasive Bladder Cancer

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Rationale for UrethralPreservation in Women• Pelvic neuroanatomy• <strong>Cancer</strong> involvementof the bladder neckand urethraPudendal nerveDo not dissect into orbelow the levatorsSchilling et al BJUI 102:1289, 2008
Female Urethra SparingIndications• Motivated to be free of external appliance• No cancer at bladder neck• T3 posterior tumor at bladder basecontraindicated• Accepting of intermittent catheterization• Absence of sphincteric deficiency
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 and 46: Transurethral resection biopsy of t
Page 47 and 48: TUR Prostatic Urethra and ApicalUre
Page 49: What About Prostate ApicalSparing?
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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