Functional Follow-Up After Cystectomy and Urinary Diversion: A Narrative Review

Author:

Kaufmann Ernest1,Black Peter C.2,Catto James W. F.3,Djaladat Hooman4,Ghodoussipour Saum5,Hamilton-Reeves Jill M.6,Jensen Bente Thoft7,Kassouf Wassim8,Lauridsen Susanne Vahr9,Lerner Seth P.10,Llorente Carlos11,Loftus Katherine12,Lucca Ilaria13,Martini Alberto14,Preston Mark A.15,Psutka Sarah P.16,Sfakianos John P.17,Shah Jay18,Wettstein Marian Severin1,Williams Stephen B.19,Daneshmand Siamak20,Fankhauser Christian D.121ORCID,

Affiliation:

1. University of Zurich, Zurich, Switzerland

2. Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada

3. Academic Urology Unit, University of Sheffield, Sheffield, UK

4. Institute of Urology, Kenneth Norris Jr. Comprehensive Cancer Center, University of Southern California, Los Angeles, California

5. Section of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey

6. Department of Urology, University of Kansas Medical Center, Kansas City, Kansas

7. Department of Urology, Aarhus University Hospital, Aarhus, Denmark

8. Department of Surgery (Urology), Faculty of Medicine, McGill University, Montreal, Canada

9. Department of Surgery, Herlev-Gentofte, Copenhagen University Hospital, Denmark and WHO-CC, Parker Institute Bispebjerg & Frederiksberg University Hospital, Copenhagen, Denmark

10. Scott Department of Urology, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, Texas

11. Department of Urology, Hospital Universitario Fundación Alcorcon, Madrid, Spain

12. Department of Anaesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, New York

13. Department of Urology of Lausanne, CHUV, Switzerland

14. University of Texas MD Anderson Cancer Center, Houston, Texas

15. Division of Urological Surgery and Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts

16. Department of Urology, University of Washington, Seattle, Washington

17. Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York

18. Department of Urology, Stanford University School of Medicine, Stanford, California

19. Division of Urology, Department of Surgery, University of Texas Medical Branch, Galveston, Texas

20. Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California

21. Department of Urology, Luzerner Kantonsspital, Luzern, Switzerland

Abstract

Abstract Introduction: Follow-up after urinary diversion aims to detect functional complications to prevent harm and improve quality of life. Methods: We conducted a literature search and reviewed guidelines and institutional follow-up protocols. Results: We included 14 studies providing data of 3282 patients. Functional complications can be seen in up to 90% of all patients within 15 years after urinary diversion and mainly include impairment of urinary or sexual function as well as renal/metabolic disturbances, but only limited evidence supporting any functional follow-up recommendation was identified. Current guideline recommendation should be rephrased to ensure routine implementation of functional follow-up investigation. Discussion: Future research is required to assess whether, which, and how follow-up protocols after cystectomy affect functional results to inform optimal surveillance procedures after treatment. Patient Summary: In this review of recommended follow-up protocols after cystectomy, we observed different recommendations and discuss future research areas.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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