Pregnancy after sexuality preserving cystectomy with urinary diversion for bladder cancer: case report and review of the literature
Abstract Background Radical cystectomy for bladder cancer represents a high demolitive surgical procedure with a significative impact on quality of life. Sexuality preserving techniques have been proposed in order to improve functional outcomes. Although sex-sparing techniques would provide women wi...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Urology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12894-022-01076-7 |
| _version_ | 1818064614285377536 |
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| author | Flavia Proietti Leslie Claire Licari Rocco Simone Flammia Eugenio Bologna Veronica Palombi Emiliano Scarrone Antonio Tufano Cosimo De Nunzio Costantino Leonardo |
| author_facet | Flavia Proietti Leslie Claire Licari Rocco Simone Flammia Eugenio Bologna Veronica Palombi Emiliano Scarrone Antonio Tufano Cosimo De Nunzio Costantino Leonardo |
| author_sort | Flavia Proietti |
| collection | DOAJ |
| description | Abstract Background Radical cystectomy for bladder cancer represents a high demolitive surgical procedure with a significative impact on quality of life. Sexuality preserving techniques have been proposed in order to improve functional outcomes. Although sex-sparing techniques would provide women with the chance of having pregnancy, experience is still limited when malignant conditions are considered. We report the outcomes of pregnancy and delivery in a 43-year-old woman with a Padua ileal orthotopic neobladder after robot-assisted sexuality preserving cystectomy for muscle-invasive urothelial bladder cancer performed four years earlier, at age 39. Case presentation Since pregnancy was confirmed, the patient had been under close urological and gynecological observation. Hydronephrosis and voiding-relating complications were reported and treated by inserting a nephrostomy tubes and indwelling bladder catheter. At the time of delivery, elective caesarian section was performed without complications. Conclusions Sexuality preserving cystectomy could be an option in selected and highly motivated young patients with diagnosis of bladder cancer. A multidisciplinary team of experts included gynecologists, urologists, radiologists, anesthesiologists and neonatologists is required for the optimal management of pregnancy and peripartum care in women with urinary diversion. |
| first_indexed | 2024-12-10T14:38:48Z |
| format | Article |
| id | doaj.art-1a594252a24344eda8e4c8c6840d6d45 |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-12-10T14:38:48Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-1a594252a24344eda8e4c8c6840d6d452022-12-22T01:44:44ZengBMCBMC Urology1471-24902022-09-012211510.1186/s12894-022-01076-7Pregnancy after sexuality preserving cystectomy with urinary diversion for bladder cancer: case report and review of the literatureFlavia Proietti0Leslie Claire Licari1Rocco Simone Flammia2Eugenio Bologna3Veronica Palombi4Emiliano Scarrone5Antonio Tufano6Cosimo De Nunzio7Costantino Leonardo8Unit of Urology - Policlinico Umberto I, Department of Maternal-Infant and Urological Sciences, La Sapienza University of RomeUnit of Urology - Policlinico Umberto I, Department of Maternal-Infant and Urological Sciences, La Sapienza University of RomeUnit of Urology - Policlinico Umberto I, Department of Maternal-Infant and Urological Sciences, La Sapienza University of RomeUnit of Urology - Policlinico Umberto I, Department of Maternal-Infant and Urological Sciences, La Sapienza University of RomeUnit of Urology - Policlinico Umberto I, Department of Maternal-Infant and Urological Sciences, La Sapienza University of RomeUnit of Urology - Policlinico Umberto I, Department of Maternal-Infant and Urological Sciences, La Sapienza University of RomeUnit of Urology - Policlinico Umberto I, Department of Maternal-Infant and Urological Sciences, La Sapienza University of RomeDepartment of Urology – Sant’Andrea Hospital, La Sapienza University of RomeUnit of Urology - Policlinico Umberto I, Department of Maternal-Infant and Urological Sciences, La Sapienza University of RomeAbstract Background Radical cystectomy for bladder cancer represents a high demolitive surgical procedure with a significative impact on quality of life. Sexuality preserving techniques have been proposed in order to improve functional outcomes. Although sex-sparing techniques would provide women with the chance of having pregnancy, experience is still limited when malignant conditions are considered. We report the outcomes of pregnancy and delivery in a 43-year-old woman with a Padua ileal orthotopic neobladder after robot-assisted sexuality preserving cystectomy for muscle-invasive urothelial bladder cancer performed four years earlier, at age 39. Case presentation Since pregnancy was confirmed, the patient had been under close urological and gynecological observation. Hydronephrosis and voiding-relating complications were reported and treated by inserting a nephrostomy tubes and indwelling bladder catheter. At the time of delivery, elective caesarian section was performed without complications. Conclusions Sexuality preserving cystectomy could be an option in selected and highly motivated young patients with diagnosis of bladder cancer. A multidisciplinary team of experts included gynecologists, urologists, radiologists, anesthesiologists and neonatologists is required for the optimal management of pregnancy and peripartum care in women with urinary diversion.https://doi.org/10.1186/s12894-022-01076-7Bladder cancerSex-sparing cystectomyRobot-assisted surgeryPregnancyCase report |
| spellingShingle | Flavia Proietti Leslie Claire Licari Rocco Simone Flammia Eugenio Bologna Veronica Palombi Emiliano Scarrone Antonio Tufano Cosimo De Nunzio Costantino Leonardo Pregnancy after sexuality preserving cystectomy with urinary diversion for bladder cancer: case report and review of the literature BMC Urology Bladder cancer Sex-sparing cystectomy Robot-assisted surgery Pregnancy Case report |
| title | Pregnancy after sexuality preserving cystectomy with urinary diversion for bladder cancer: case report and review of the literature |
| title_full | Pregnancy after sexuality preserving cystectomy with urinary diversion for bladder cancer: case report and review of the literature |
| title_fullStr | Pregnancy after sexuality preserving cystectomy with urinary diversion for bladder cancer: case report and review of the literature |
| title_full_unstemmed | Pregnancy after sexuality preserving cystectomy with urinary diversion for bladder cancer: case report and review of the literature |
| title_short | Pregnancy after sexuality preserving cystectomy with urinary diversion for bladder cancer: case report and review of the literature |
| title_sort | pregnancy after sexuality preserving cystectomy with urinary diversion for bladder cancer case report and review of the literature |
| topic | Bladder cancer Sex-sparing cystectomy Robot-assisted surgery Pregnancy Case report |
| url | https://doi.org/10.1186/s12894-022-01076-7 |
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