Nephrology Medical News about Endourologic management, UT-TCC, Cystectomy, Urinary diversion

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Endourologic management of upper tract transitional cell carcinoma following cystectomy and urinary diversion
Advances in Urology, 07/10/09

Tomaszewski JJ et al. - Study reviews the current outcomes of conservative management for upper tract disease and discusses its application and relevance in patients following cystectomy with lower urinary tract reconstruction.

Nephroureterectomy is the gold standard treatment modality for high-grade and large-burden upper tract TCC recurrence following cystectomy and urinary diversion
However, with technical advances, a minimally invasive approach is feasible in select pts
Reports of recurrence due to pyelovenous backflow are a significant concern with each modality of conservative therapy
When choosing a surgical approach in a patient following lower urinary tract reconstruction, the ease of access, preservation of renal function, and oncologic efficacy must all be taken into consideration

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