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. 2021 Aug 9;8:688394. doi: 10.3389/fsurg.2021.688394

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