Reconstructive options in genitourinary rhabdomyosarcoma

Barry P. Duel, W. Hardy Hendren, Stuart B. Bauer, James Mandell, Arnold Colodny, Craig A. Peters, Anthony Atala, Alan B. Retik

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Purpose: We attempted to develop a rational and consistent scheme for surgical reconstruction in patients with genitourinary rhabdomyosarcoma. Materials and Methods: We reviewed the records of 35 patients with resectable genitourinary rhabdomyosarcoma treated from 1970 to 1993. Results: Primary sites included bladder in 11 cases, prostate in 13, vagina/uterus in 9 and pelvic tumors of uncertain origin in 2. A total of 33 patients underwent surgery, including partial and radical cystectomy in 17 (bowel conduit diversion in 10, continent urinary diversion in 6 and ureterosigmoidostomy in 1). Overall 30 of the 33 surgical patients are free of disease 4 months to 24 years after diagnosis. Conclusions: A nonrefluxing colon conduit is appropriate at cystectomy. Continent diversion fashioned from the original conduit may be planned as the patient achieves a durable disease-free status.

Original languageEnglish (US)
Pages (from-to)1798-1804
Number of pages7
JournalJournal of Urology
Volume156
Issue number5
DOIs
StatePublished - Nov 1996

Keywords

  • continent
  • cystectomy
  • pelvic exenteration
  • rhabdomyosarcoma
  • urinary diversion
  • urinary reservoirs

ASJC Scopus subject areas

  • Urology

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    Duel, B. P., Hendren, W. H., Bauer, S. B., Mandell, J., Colodny, A., Peters, C. A., Atala, A., & Retik, A. B. (1996). Reconstructive options in genitourinary rhabdomyosarcoma. Journal of Urology, 156(5), 1798-1804. https://doi.org/10.1016/S0022-5347(01)65540-X