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Urethral Recurrence in Patients with Orthotopic Ileal Neobladders

1996; Lippincott Williams & Wilkins; Volume: 156; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(01)65462-4

1527-3792

John A. Freeman, Thomas A. Tarter, David Esrig, John P. Stein, Donald A. Elmajian, Su‐Chiu Chen, Susan Groshen, Gary Lieskovsky, Donald G. Skinner,

Urological Disorders and Treatments

No AccessJournal of UrologyClinical Urology: Original Article1 Nov 1996Urethral Recurrence in Patients with Orthotopic Ileal Neobladders John A. Freeman, Thomas A. Tarter, David Esrig, John P. Stein, Donald A. Elmajian, Su-Chiu Chen, Susan Groshen, Gary Lieskovsky, and Donald G. Skinner John A. FreemanJohn A. Freeman , Thomas A. TarterThomas A. Tarter , David EsrigDavid Esrig , John P. SteinJohn P. Stein , Donald A. ElmajianDonald A. Elmajian , Su-Chiu ChenSu-Chiu Chen , Susan GroshenSusan Groshen , Gary LieskovskyGary Lieskovsky , and Donald G. SkinnerDonald G. Skinner View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65462-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We identified the risk of urethral recurrence following cystectomy for transitional cell bladder carcinoma, stratified by pathological characteristics of the bladder tumor and type of urinary diversion. Materials and Methods: The pathological characteristics and clinical courses of 174 men with a Kock ileal neobladder and 262 with a cutaneous urinary diversion were analyzed for time to urethral recurrence. Results: Urethral recurrence was identified in 34 patients at a median of 1.6 years after cystectomy, for an overall 7.9 percent 5-year risk of recurrence. Carcinoma in situ (p = 0.71) and multifocality (p = 0.17) did not independently confer an increased risk of recurrence. Prostatic urethral involvement, particularly stromal invasion, significantly increased the probability of recurrence (p less than 0.001). Patients with a Kock ileal neobladder had a significantly lower probability of recurrence compared to those with cutaneous diversion (p = 0.015), even when associated with prostatic urethral involvement. 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Volume 156Issue 5November 1996Page: 1615-1619 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information John A. Freeman More articles by this author Thomas A. Tarter More articles by this author David Esrig More articles by this author John P. Stein More articles by this author Donald A. Elmajian More articles by this author Su-Chiu Chen More articles by this author Susan Groshen More articles by this author Gary Lieskovsky More articles by this author Donald G. Skinner More articles by this author Expand All Advertisement PDF downloadLoading ...