TY  - BOOK
AU  - Egan, Jillian
AU  - Richter, Lee
TI  - Vaginal Complications after Radical Cystectomy for Bladder Cancer: A Systematic Review
PY  - 2021///
KW  - *Cystectomy/ae [Adverse Effects]
KW  - *Postoperative Complications/et [Etiology]
KW  - *Urinary Bladder Neoplasms/su [Surgery]
KW  - *Vaginal Diseases/et [Etiology]
KW  - Female
KW  - Humans
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology/Urogynecology
KW  - Urology Residency Advanced
KW  - Journal Article
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
N2  - CONCLUSIONS: There is a need for more prospective studies, using standardized instruments and subjective outcome measures to better define the incidence of vaginal complications after radical cystectomy for bladder cancer, and to understand their impact on quality of life measures. Copyright (c) 2021. Published by Elsevier Inc; METHODS: Ovid MEDLINE, Ovid EMBASE, and Web of Science were systematically searched from January 1, 2001 to January 25, 2021 using a combination of search terms for bladder cancer and radical cystectomy with terms for four categories of vaginal complications (prolapse, fistula, evisceration/dehiscence, and dyspareunia). A total of 229 publications were identified, the final review included 28 publications; OBJECTIVES: To summarize the published literature regarding pelvic organ prolapse, dehiscence or evisceration, vaginal fistula, and dyspareunia after radical cystectomy and to describe the management approaches used to treat these conditions; RESULTS: Neobladder vaginal fistula was evaluated in 17 publications, with an incidence rate of 3-6% at higher volume centers, often along the anterior vaginal wall at the location of the neobladder-urethral anastomosis. Sexual function was evaluated in ten studies, seven of which utilized validated instruments. Maintaining the anterior vaginal wall and the distal urethra appeared to be associated with improved sexual function. Pelvic organ prolapse was assessed in five studies, only one used a validated questionnaire and none included a validated objective measure of pelvic organ support
UR  - https://dx.doi.org/10.1016/j.urology.2021.07.001
ER  -