Table 2.
Important patient and anatomical characteristics determining reconstructive surgery vs. cystectomy including urinary diversion in patients with devasted bladder outlets after prostate cancer treatment.
| Patient characteristics | Anatomical and functional characteristics |
|---|---|
| - Prostate cancer treatment (radical prostatectomy, external beam radiation therapy, high intensity focused ultrasound, focal therapy [cryo/brachytherapy]) - Prostate cancer status (cancer-free, local/distant recurrence, progressive disease) - Age - Comorbidities - Body habitus, Body Mass Index - Performance status - Mental capacity/motivation |
- Status of bladder (bladder capacity, compliance) - Size and location of fistula - Prostate organ still in situ - Presence of concomitant bladder neck contracture - Presence of pre-sacral cavity - Concomitant fistula into the rectum - Length of proximal bulbar urethra available to anastomose bladder/neobladder onto |