Optimizing Care for Women through Gynecologic Organ Considerations During Cystectomy: A Pre-Operative Checklist of Important Considerations

Urology. 2024 Nov 28:S0090-4295(24)01095-1. doi: 10.1016/j.urology.2024.11.044. Online ahead of print.

Abstract

Bladder cancer is a relatively rare malignancy; however, women are more likely to present with muscle invasive disease and require radical cystectomy.1 Radical cystectomy is a life-altering operation, requiring thoughtful consideration of both urologic and gynecologic organs. In order to improve the standard of care for women undergoing radical cystectomy, Urologists should adopt a thorough, patient-centered approach to surgical planning. This narrative review provides a review of the extant literature pertaining to the management of gynecologic organs in women undergoing radical cystectomy including the management of the cervix, uterus, and adnexa.