The most common urinary diversion after total cystectomy is:
|A||End ureterostomy with external stoma|
a. Carcinoma of the urinary bladder causes only 2.2% of al cancer deaths in US.
b. The peak age incidence is 50-70years.
c. Papillary bladder tumors are common.
d. Prolonged exposure to beta-napthylamine lead to development of bladder carcinoma.
e. Gross or microscopic hematuria is the inssign of bladder cancer.
f. Cystectomy is the definitive treatment for the most bladder tumors.
g. The most satisfactory treatment for locally invasive, respectable carcinoma of the bladder is cystectomy.
h. In cystectomy , supravesical diversion of the urine by means of the cutaneous ureteroileostomy (ileal loop) is done.
i. After cystectomy, the urine is diverted using segments of bowel, the most commonly performed incontinent diversion is the ileal conduct
j. Cutaneous ureterocolostomy (colon loop) diversion is also done in some cases.
k. But illeal conduct is the most common one.
l. For patients with unresectable disease, urinary diversionwith or without radiation therapy may relieve the frequency and hemorrhage.
m. Combination of chemotherapeutic agents and radiotherapy followed by cystectomy has provided a satisfactory survival.
n. Systemic multidrug therapy may offer palliation for metastatic disease.
o. Thio-tepa, BCG, Adriamycin or mitomycin C instilled at intervals destroy the superficial tumors and carcinoma in situ. and decreased frequency of the recurrence.