Bladder Cancer
Conditions
Brief summary
To study the effect of pelvic reconstruction on early return of continence after robot-assisted radical cystectomy-orthotopic ileal neobladder in the male.
Detailed description
This study will enroll male patients with bladder cancer who will undergo robot-assisted radical cystectomy-orthotopic ileal neobladder. The patients will be distributed into two comparable groups according to whether received pelvic reconstruction or not. Patient demographics and pathologic, perioperative, functional, and oncologic outcomes will be compared between the two groups.
Interventions
After radical cystectomy, the pelvic reconstruction including the ligation of dorsal vascular complex and posterior reconstruction will be performed on patients.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male patients aged 18 or older. 2. Patients those who are diagnosed with urothelial carcinoma. 3. Patients those who are capable of receiving radical cystectomy with orthotopic ileal neobladder. 4. Patients those who are able to cooperate and complete the follow-up. 5. Patients those who volunteer to participate in this study and sign the informed consens.
Exclusion criteria
1. Patients thsoe who are diagnosed distant metastasis before surgery. 2. Patients those who are diagnosed with other malignancies. 3. Patients those who had received pelvic radiotherapy or major pelvic operation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| day-time and night-time continence rate | 6 months | Patients were considered continent when they required 0 or 1 safety pad during the day or at night. |
Secondary
| Measure | Time frame |
|---|---|
| perioperative complication rate | 3 months |
| operative time | 24 hours |
| estimated blood loss | 24 hours |
| overall survival | 1 year |
| recurrence-free survival | 1 year |
Countries
China