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See Latest ArticlesEndourologic 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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