Radical cystectomy is the standard treatment for muscle invasive bladder cancer. Reconstructive surgery for the patient undergoing a cystectomy includes the construction of an ileal conduit, neobladder or continent urostomy. This presentation will review each surgical procedure and report on long term outcomes including measures of quality of life, recurrence of disease, renal function and complications such as obstructions, stoma issues and hernia formation. The problem in practice for the WOC nurse is the lack of long term follow up on this patient population and this session will help the clinician understand the long term implications of the three urinary diversions to better support the patient in decision making.
Educate patients anticipating cystectomy surgery on the long term outcomes which can assist the patient in decision making about the best procedure to treat their bladder disease.
RN, MS, APRN, CWOCN, FAAN,
Ostomy & Wound Care Advanced Practice Nurse,
University of Chicago Medicine
Credits: None available.
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