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Update of the ICUD–SIU International Consultation on Bladder Cancer 2018: urinary diversion

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Abstract

Purpose

To provide a comprehensive overview and update of the joint consultation of the International Consultation on Urological Diseases (ICUD) and Société Internationale d’Urologie on Bladder Cancer Urinary Diversion (UD).

Methods

A detailed analysis of the literature was conducted reporting on the different modalities of UD. For this updated publication, an exhaustive search was conducted in PubMed for recent relevant papers published between October 2013 and August 2018. Via this search, a total of 438 references were identified and 52 of them were finally eligible for analysis. An international, multidisciplinary expert committee evaluated and graded the data according to the Oxford System of Evidence-based Medicine.

Results

The incidence of early complications has been reported retrospectively in the range of 20–57%. Unfortunately, only a few randomized controlled studies exist within the field of UD. Consequently, almost all studies used in this report are of level 3–4 evidence including expert opinion based on “first principles” research.

Conclusions

Complications rates overall following RC and UD are significant, and when strict reporting criteria are incorporated, they are much higher than previously published. Complications can occur up to 20 years after surgery, emphasizing the need for lifelong follow-up. Progress has been made to prevent complications implementing robotic surgery and fast track protocols. Preoperative patient information, patient selection, surgical techniques, and careful postoperative follow-up are the cornerstones to achieve good results.

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Author information

Authors and Affiliations

  1. Urological Oncology Unit, Department of Urology, Fundació Puigvert, Universitat Autònoma de Barcelona, C/Cartagena, 340-350, 08025, Barcelona, Spain

    Oscar Rodríguez Faba & Joan Palou

  2. Department of Urology, Mayo Clinic, Scottsdale, USA

    Mark D. Tyson

  3. Urology Clinic, Verona Integrated University Hospital, Verona, Italy

    Walter Artibani

  4. Urology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA

    Bernard H. Bochner

  5. Department of Urology, Inselspital Bern, Bern, Switzerland

    Fiona Burkhard

  6. Department of Genitourinary Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, USA

    Scott M. Gilbert

  7. Urology and Pediatric Urology Clinic, Klinikum Fulda, Fulda, Germany

    Tilman Kälble

  8. Urology Department, Kaiser-Franz-Josef Hospital, Vienna, Austria

    Stephan Madersbacher

  9. Uro-Oncology and Prostate Centre, Department of Urology, Inselspital Bern, Bern, Switzerland

    Roland Seiler & George Thalmann

  10. Urologic Oncology, Department of Urology, Stanford University, Stanford, USA

    Ella C. Skinner

  11. Department of Urology, University Clinic Mannheim, Mannheim, Germany

    Joachim Thüroff

  12. Department of Urology, Department of Molecular Medicine and Surgery, Karolinska University Hospital, Solna, Sweden

    Peter Wiklund

  13. Department of Urology, University of Ulm, Ulm, Germany

    Richard Hautmann

Authors
  1. Oscar Rodríguez Faba
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  2. Mark D. Tyson
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  8. Stephan Madersbacher
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  9. Roland Seiler
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  10. Ella C. Skinner
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  13. Peter Wiklund
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  14. Richard Hautmann
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  15. Joan Palou
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Contributions

Protocol/project development: ORF, MDT, JP, RH. Data collection or management: all authors. Data analysis: ORF, JP, RH. Manuscript writing/editing: all authors.

Corresponding author

Correspondence to Oscar Rodríguez Faba.

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The authors declare that they have no conflict of interest.

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For this type of study formal consent is not required. This article does not contain any studies with human participants or animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Faba, O.R., Tyson, M.D., Artibani, W. et al. Update of the ICUD–SIU International Consultation on Bladder Cancer 2018: urinary diversion. World J Urol 37, 85–93 (2019). https://doi.org/10.1007/s00345-018-2484-3

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  • DOI: https://doi.org/10.1007/s00345-018-2484-3

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