INTRODUCTION We sought to evaluate the cost effectiveness of perioperative use of alvimopan in cystectomy and urinary diversion. A recent randomized controlled trial demonstrated the efficacy of alvimopan in reducing postoperative ileus and length of stay in cystectomy; however, a major limitation was the exclusion of epidural analgesia. MATERIALS AND METHODS Eighty-six cystectomy and urinary...

Between May 1996 and November 2013, 345 consecutive adult patients underwent radical cystectomy and urinary diversion in our hospital; one hundred and fifteen patients with more than a 5-year follow-up were enrolled. Propensity scores were calculated using logistic analysis, and the data used in the analyses included age, gender, Eastern Cooperative Oncology Group Performance Status (ECOG-PS), ...

Objective: To evaluate the effect of anterior suspension stitch during radical cystectomy and ileal neobladder urinary diversion on continence. Methods: 176male patients who underwent radical cystectomy and neobladder urinary diversion because of bladder cancer in our clinic. We analyzed 75 patientsretrospectively, 36 with the placement of anterior suspension stitch Group 1 and 39 without anter...

Tissue engineering and regenerative medicine (TERM) approaches may provide alternatives for gastrointestinal tissue in urinary diversion. To continue to clinically translatable studies, TERM alternatives need to be evaluated in (large) controlled and standardized animal studies. Here, we investigated all evidence for the efficacy of tissue engineered constructs in animal models for urinary dive...

independent procedures, but they are none the less linked. For tumor treatment, the question of which method of urinary diversion to use is secondary. However, for the patient and the medical indication for oncosurgery, this question takes on paramount importance. The reason for this unusual situation is the fact that in the past, the specter of "mutilating" surgery had surrounded urinary diver...

The bioCarbon ureterostomy device is a stomal prosthesis for upper tract urinary diversion that has had preliminary successes in animal and human trials in Europe and Peru. Implantation of a pure carbon stomal prosthesis offers the potential advantages of high biocompatibility, lack of encrustation, and elimination of stomal stenosis which is frequently associated with cutaneous ureterostomy. N...