The development of radical cystectomy technique in women / 中华泌尿外科杂志

ABSTRACT

It has been well known that gender palys an important role in the development of tumors.Though bladder cancer mainly affects male population,female population shows a much worse prognosis,suggesting an urgent need for further studies in female UCB.Radical cystectomy (RC) remains the gold standard for muscle-invasive bladder cancer (MIBC).Whether reproductive organs should be reserved for female MIBC patients remains controversial.It has been suggested that the tumor T stage plays an important role in the decision making regarding organs reservation.Meanwhile,the patents'will should also be taken into consideration.Given the relative small sample size of female MIBC patients reported in the literatures,it remains unclear which way presents the ideal way of urinary diversion for female population.The surgeons should consider the special condition of the center and patients'will regarding the decision making of urinary diversion.In conclusion,early diagnosis would improve the prognosis of UCB.Conventional RC may affect the sexual activity quality of female UCB patients,suggesting that moified RC with sexual organs reservation should be taken into consideration for selected patients.It is urgently needed to improve the urinary continence and the quality of sexual activity for female UCB patients who received RC.