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Oncologic and Renal Function Outcomes After Radical Cystectomy and Ureterocutaneostomy: A Single Center Experience
Objective: It is aimed to present the long-term oncologic and nephrological follow-up results in patients who underwent radical cystectomy and ureterocutaneostomy (RC+UC) due to localized muscle-invasive bladder cancer (MIBC). Materials and Methods: A total of 83 patients diagnosed with localized MI...
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| Published in: | Journal of urological surgery 2019-12, Vol.6 (4), p.314-319 |
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| container_end_page | 319 |
| container_issue | 4 |
| container_start_page | 314 |
| container_title | Journal of urological surgery |
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| creator | Tombul, Şevket Tolga Sönmez, Gökhan Demirtaş, Abdullah Tatlışen, Atila |
| description | Objective: It is aimed to present the long-term oncologic and nephrological follow-up results in patients who underwent radical cystectomy and
ureterocutaneostomy (RC+UC) due to localized muscle-invasive bladder cancer (MIBC).
Materials and Methods: A total of 83 patients diagnosed with localized MIBC (age ≥70 years or an American Society of Anesthesiologists score ≥3),
who underwent RC+UC between January 1995 and June 2013, were evaluated retrospectively. Patients who died due to postoperative early surgical
complications and patients with a preoperative glomerular filtration rate (GFR) |
| doi_str_mv | 10.4274/jus.galenos.2019.2682 |
| format | article |
| fullrecord | <record><control><sourceid>idealonline_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_ac8ac0108b9648b98f2dffe8acc190ed</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_ac8ac0108b9648b98f2dffe8acc190ed</doaj_id><sourcerecordid>IDEAL_103947</sourcerecordid><originalsourceid>FETCH-LOGICAL-c329t-d8ed94a840a56cc669456e821338802cf5baf3669e506ba66aa17f1bc939ebd63</originalsourceid><addsrcrecordid>eNpNkU2LGzEMhofSQpft_oSCj70k9ceMx-4tpNk2EAhsu2ejseXgMLEXewaaf1_PZim9SOKV9Ar0NM1nRtct79uv57msTzBiTGXNKdNrLhV_19xx1qqV7hR9_1_9sXko5UwpZb1QrOd3TT5Gm8Z0CpZAdOQJI4zkcY52CimS4zzZdMFCNn7CTJ7ABVv722uZ0E7pcn1des5Yu8nOE0RMZdG_kQ35FeJpRLLFuOzu_rxgDhgtfmo-eBgLPrzl--b5cfd7-3N1OP7YbzeHlRVcTyun0OkWVEuhk9ZKqdtOouJMCKUot74bwIsqY0flAFICsN6zwWqhcXBS3Df7m69LcDYvOVwgX02CYF6FlE8G8hTsiAasAksZVYOWbQ3Kc-c9VtEyTdFVry83r-AQxhTHENGc05zru4rZf99tDoZRodu-jna3UZtTKRn9v9OMmgWZqcjMGzKzIDMLMvEXl8uPBQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Oncologic and Renal Function Outcomes After Radical Cystectomy and Ureterocutaneostomy: A Single Center Experience</title><source>Publicly Available Content (ProQuest)</source><source>EZB Electronic Journals Library</source><creator>Tombul, Şevket Tolga ; Sönmez, Gökhan ; Demirtaş, Abdullah ; Tatlışen, Atila</creator><contributor>Divrik,Taner</contributor><creatorcontrib>Tombul, Şevket Tolga ; Sönmez, Gökhan ; Demirtaş, Abdullah ; Tatlışen, Atila ; Divrik,Taner</creatorcontrib><description>Objective: It is aimed to present the long-term oncologic and nephrological follow-up results in patients who underwent radical cystectomy and
ureterocutaneostomy (RC+UC) due to localized muscle-invasive bladder cancer (MIBC).
Materials and Methods: A total of 83 patients diagnosed with localized MIBC (age ≥70 years or an American Society of Anesthesiologists score ≥3),
who underwent RC+UC between January 1995 and June 2013, were evaluated retrospectively. Patients who died due to postoperative early surgical
complications and patients with a preoperative glomerular filtration rate (GFR) <50 mL/(min×m2), a solitary kidney, another malignancy, a dialysis
history, and patients without a follow-up information record were excluded.
Results: The median age of the patients was 71 years. Seventy-three (88%) were male. Distant organ metastasis was detected in 33 patients. Thirtyone
(37.3%) patients died of causes other than cancer, 35 (42.2%) died from cancer progression, and 17 (20.5%) survived. Preoperatively, 38 had
hydroureteronephrosis (HUN) in one or both kidneys and 6 had undergone preoperative urinary diversion. Sixty-three (75.9%) patients had stoma
stenosis, and they were followed with ureteral stents. The number of patients requiring permanent dialysis due to postrenal acute renal failure was
5 (6%). A significant difference was observed between the preoperative, first- and third-year GFR levels in 52 patients having at least a 3-year
follow-up period. The change in GFR was found to be 32% after 3 years of follow-up in these patients. The decrease in GFR was more prominent in
patients with preoperative HUN.
Conclusion: RC+UC should be considered as an option in carefully selected patients in whom the risk of renal function loss is acceptable in terms
of age, comorbidity, and life expectancy.</description><identifier>ISSN: 2148-9580</identifier><identifier>EISSN: 2148-9580</identifier><identifier>DOI: 10.4274/jus.galenos.2019.2682</identifier><language>eng</language><publisher>Society of Urological Surgery</publisher><subject>gfr ; radical cystectomy ; Tıp ; ureterocutaneostomy</subject><ispartof>Journal of urological surgery, 2019-12, Vol.6 (4), p.314-319</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-d8ed94a840a56cc669456e821338802cf5baf3669e506ba66aa17f1bc939ebd63</citedby><orcidid>0000-0001-9102-5518</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids></links><search><contributor>Divrik,Taner</contributor><creatorcontrib>Tombul, Şevket Tolga</creatorcontrib><creatorcontrib>Sönmez, Gökhan</creatorcontrib><creatorcontrib>Demirtaş, Abdullah</creatorcontrib><creatorcontrib>Tatlışen, Atila</creatorcontrib><title>Oncologic and Renal Function Outcomes After Radical Cystectomy and Ureterocutaneostomy: A Single Center Experience</title><title>Journal of urological surgery</title><description>Objective: It is aimed to present the long-term oncologic and nephrological follow-up results in patients who underwent radical cystectomy and
ureterocutaneostomy (RC+UC) due to localized muscle-invasive bladder cancer (MIBC).
Materials and Methods: A total of 83 patients diagnosed with localized MIBC (age ≥70 years or an American Society of Anesthesiologists score ≥3),
who underwent RC+UC between January 1995 and June 2013, were evaluated retrospectively. Patients who died due to postoperative early surgical
complications and patients with a preoperative glomerular filtration rate (GFR) <50 mL/(min×m2), a solitary kidney, another malignancy, a dialysis
history, and patients without a follow-up information record were excluded.
Results: The median age of the patients was 71 years. Seventy-three (88%) were male. Distant organ metastasis was detected in 33 patients. Thirtyone
(37.3%) patients died of causes other than cancer, 35 (42.2%) died from cancer progression, and 17 (20.5%) survived. Preoperatively, 38 had
hydroureteronephrosis (HUN) in one or both kidneys and 6 had undergone preoperative urinary diversion. Sixty-three (75.9%) patients had stoma
stenosis, and they were followed with ureteral stents. The number of patients requiring permanent dialysis due to postrenal acute renal failure was
5 (6%). A significant difference was observed between the preoperative, first- and third-year GFR levels in 52 patients having at least a 3-year
follow-up period. The change in GFR was found to be 32% after 3 years of follow-up in these patients. The decrease in GFR was more prominent in
patients with preoperative HUN.
Conclusion: RC+UC should be considered as an option in carefully selected patients in whom the risk of renal function loss is acceptable in terms
of age, comorbidity, and life expectancy.</description><subject>gfr</subject><subject>radical cystectomy</subject><subject>Tıp</subject><subject>ureterocutaneostomy</subject><issn>2148-9580</issn><issn>2148-9580</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpNkU2LGzEMhofSQpft_oSCj70k9ceMx-4tpNk2EAhsu2ejseXgMLEXewaaf1_PZim9SOKV9Ar0NM1nRtct79uv57msTzBiTGXNKdNrLhV_19xx1qqV7hR9_1_9sXko5UwpZb1QrOd3TT5Gm8Z0CpZAdOQJI4zkcY52CimS4zzZdMFCNn7CTJ7ABVv722uZ0E7pcn1des5Yu8nOE0RMZdG_kQ35FeJpRLLFuOzu_rxgDhgtfmo-eBgLPrzl--b5cfd7-3N1OP7YbzeHlRVcTyun0OkWVEuhk9ZKqdtOouJMCKUot74bwIsqY0flAFICsN6zwWqhcXBS3Df7m69LcDYvOVwgX02CYF6FlE8G8hTsiAasAksZVYOWbQ3Kc-c9VtEyTdFVry83r-AQxhTHENGc05zru4rZf99tDoZRodu-jna3UZtTKRn9v9OMmgWZqcjMGzKzIDMLMvEXl8uPBQ</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Tombul, Şevket Tolga</creator><creator>Sönmez, Gökhan</creator><creator>Demirtaş, Abdullah</creator><creator>Tatlışen, Atila</creator><general>Society of Urological Surgery</general><general>Galenos Yayinevi</general><scope>AAYXX</scope><scope>CITATION</scope><scope>IEBAR</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9102-5518</orcidid></search><sort><creationdate>20191201</creationdate><title>Oncologic and Renal Function Outcomes After Radical Cystectomy and Ureterocutaneostomy: A Single Center Experience</title><author>Tombul, Şevket Tolga ; Sönmez, Gökhan ; Demirtaş, Abdullah ; Tatlışen, Atila</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-d8ed94a840a56cc669456e821338802cf5baf3669e506ba66aa17f1bc939ebd63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>gfr</topic><topic>radical cystectomy</topic><topic>Tıp</topic><topic>ureterocutaneostomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tombul, Şevket Tolga</creatorcontrib><creatorcontrib>Sönmez, Gökhan</creatorcontrib><creatorcontrib>Demirtaş, Abdullah</creatorcontrib><creatorcontrib>Tatlışen, Atila</creatorcontrib><collection>CrossRef</collection><collection>Idealonline online kütüphane - Journals</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>Journal of urological surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tombul, Şevket Tolga</au><au>Sönmez, Gökhan</au><au>Demirtaş, Abdullah</au><au>Tatlışen, Atila</au><au>Divrik,Taner</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oncologic and Renal Function Outcomes After Radical Cystectomy and Ureterocutaneostomy: A Single Center Experience</atitle><jtitle>Journal of urological surgery</jtitle><date>2019-12-01</date><risdate>2019</risdate><volume>6</volume><issue>4</issue><spage>314</spage><epage>319</epage><pages>314-319</pages><issn>2148-9580</issn><eissn>2148-9580</eissn><abstract>Objective: It is aimed to present the long-term oncologic and nephrological follow-up results in patients who underwent radical cystectomy and
ureterocutaneostomy (RC+UC) due to localized muscle-invasive bladder cancer (MIBC).
Materials and Methods: A total of 83 patients diagnosed with localized MIBC (age ≥70 years or an American Society of Anesthesiologists score ≥3),
who underwent RC+UC between January 1995 and June 2013, were evaluated retrospectively. Patients who died due to postoperative early surgical
complications and patients with a preoperative glomerular filtration rate (GFR) <50 mL/(min×m2), a solitary kidney, another malignancy, a dialysis
history, and patients without a follow-up information record were excluded.
Results: The median age of the patients was 71 years. Seventy-three (88%) were male. Distant organ metastasis was detected in 33 patients. Thirtyone
(37.3%) patients died of causes other than cancer, 35 (42.2%) died from cancer progression, and 17 (20.5%) survived. Preoperatively, 38 had
hydroureteronephrosis (HUN) in one or both kidneys and 6 had undergone preoperative urinary diversion. Sixty-three (75.9%) patients had stoma
stenosis, and they were followed with ureteral stents. The number of patients requiring permanent dialysis due to postrenal acute renal failure was
5 (6%). A significant difference was observed between the preoperative, first- and third-year GFR levels in 52 patients having at least a 3-year
follow-up period. The change in GFR was found to be 32% after 3 years of follow-up in these patients. The decrease in GFR was more prominent in
patients with preoperative HUN.
Conclusion: RC+UC should be considered as an option in carefully selected patients in whom the risk of renal function loss is acceptable in terms
of age, comorbidity, and life expectancy.</abstract><pub>Society of Urological Surgery</pub><doi>10.4274/jus.galenos.2019.2682</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9102-5518</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of urological surgery, 2019-12, Vol.6 (4), p.314-319 |
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| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_ac8ac0108b9648b98f2dffe8acc190ed |
| source | Publicly Available Content (ProQuest); EZB Electronic Journals Library |
| subjects | gfr radical cystectomy Tıp ureterocutaneostomy |
| title | Oncologic and Renal Function Outcomes After Radical Cystectomy and Ureterocutaneostomy: A Single Center Experience |
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