{
    "abstract": "Pelvic exenteration combines multiple organ resections and functional reconstruction. Many techniques have been described for urinary reconstruction, although only a few are routinely used. The aim of this review is to focus beyond the technical aspects and the advantages and disadvantages of each technique, and to include a critical analysis of continent techniques in the gynecologic and urologic literature. Selecting a technique for urinary reconstruction must take into account the constraints entailed by the natural history of the disease, patient characteristics, healthcare institution, and surgeon experience. In gynecologic oncology, the Bricker ileal conduit is the most commonly employed diversion, followed by the self-catheterizable pouch and orthotopic bladder replacement. Continent and non-continent diversions present similar immediate and long-term complication rates, including lower tract urinary infections and pyelonephritis (5-50%), ureteral stricture (3-27%), urolithiasis (5-25%), urinary fistula (5%), and more rarely, vitamin B",
    "authors": [
        {
            "affiliation": "Department of Surgical Oncology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, France.\nTeam 1, Tumor Immunology and Immunotherapy, Cancer Research Center of Toulouse (CRCT) - INSERM UMR 1037, Toulouse, France.",
            "firstname": "Carlos",
            "initials": "C",
            "lastname": "Mart\u00ednez-G\u00f3mez"
        },
        {
            "affiliation": "Department of Surgical Oncology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, France.",
            "firstname": "Martina Aida",
            "initials": "MA",
            "lastname": "Angeles"
        },
        {
            "affiliation": "Department of Surgical Oncology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, France.\nTeam 1, Tumor Immunology and Immunotherapy, Cancer Research Center of Toulouse (CRCT) - INSERM UMR 1037, Toulouse, France.",
            "firstname": "Alejandra",
            "initials": "A",
            "lastname": "Martinez"
        },
        {
            "affiliation": "Department of Urology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, France.",
            "firstname": "Bernard",
            "initials": "B",
            "lastname": "Malavaud"
        },
        {
            "affiliation": "Department of Surgical Oncology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, France ferron.gwenael@iuct-oncopole.fr.\nTeam 19, ONCOSARC - Oncogenesis of Sarcomas, Cancer Research Center of Toulouse (CRCT) - INSERM UMR 1037, Toulouse, France.",
            "firstname": "Gwenael",
            "initials": "G",
            "lastname": "Ferron"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 IGCS and ESGO 2021. Re-use permitted under CC BY-NC. No commercial re-use. Published by BMJ.",
    "doi": "10.1136/ijgc-2020-002015\n10.1002/1097-0142(194807)1:2<177::aid-cncr2820010203>3.0.co;2-a\n10.1097/DCR.0000000000000839\n10.1016/j.ygyno.2005.10.011\n10.1016/j.ygyno.2014.06.034\n10.1016/S0039-6109(16)33147-4\n10.1016/0090-8258(89)90159-5\n10.1111/bju.12121\n10.1097/WON.0b013e318220b6d6\n10.1016/j.ygyno.2008.12.020\n10.1245/s10434-019-07816-8\n10.1002/bjs5.75\n10.1245/s10434-017-6120-z\n10.1097/DCR.0000000000000347\n10.1136/ijgc-2019-000597\n10.1136/ijgc-2019-000356\n10.1016/j.urology.2018.01.003\n10.1016/j.jmig.2015.12.005\n10.1016/s0022-5347(17)41210-9\n10.1016/j.ygyno.2012.08.004\n10.1245/s10434-013-3478-4\n10.1159/000450654\n10.1038/nrurol.2011.147\n10.1016/j.urology.2006.05.058\n10.1097/00000658-196210000-00015\n10.1111/j.1464-410x.1966.tb09747.x\n10.1111/j.1464-410X.1970.tb04498.x\n10.5489/cuaj.2692\n10.1016/S0022-5347(17)41699-5\n10.1016/s0022-5347(17)44428-4\n10.1159/000472481\n10.1016/j.ygyno.2018.08.003\n10.1016/S0022-5347(17)49934-4\n10.1016/j.brachy.2017.07.001\n10.1016/j.urology.2003.11.015\n10.1097/MOU.0000000000000226\n10.1016/s0022-5347(17)44433-8\n10.1111/j.1442-2042.2011.02870.x\n10.1016/S0140-6736(19)31269-3\n10.1016/j.ygyno.2018.10.036\n10.1097/IGC.0000000000000011\n10.1016/j.ygyno.2003.11.003\n10.1111/j.1464-410X.2007.07366.x\n10.1016/j.juro.2008.03.080\n10.1002/(SICI)1098-2388(199910/11)17:3<152::AID-SSU3>3.0.CO;2-J\n10.1016/j.ygyno.2015.06.031\n10.1016/j.ygyno.2017.01.014\n10.1016/j.ygyno.2013.02.024\n10.1016/s0002-9378(98)70362-x\n10.1007/s00415-005-0698-y\n10.1007/s11934-018-0773-4\n10.1097/01.ju.0000051462.45388.14\n10.1097/01.NAJ.0000559781.86311.64\n10.1097/MOU.0000000000000228\n10.1016/s0302-2838(01)00031-8\n10.1016/j.ejso.2015.10.001\n10.1016/j.ejso.2014.05.006\n10.1016/j.ejso.2018.10.061\n10.1308/003588409X432293\n10.1136/ijgc-2019-000863\n10.1016/j.ajog.2004.01.023\n10.1111/bju.13804\n10.1016/j.urology.2014.06.075\n10.1111/bju.13824\n10.1016/j.ygyno.2004.01.021\n10.1056/NEJMoa1806395\n10.1016/j.ucl.2017.09.010\n10.1016/j.jmig.2015.01.020\n10.1136/ijgc-2019-000899\n10.1016/j.ygyno.2018.06.010\n10.1136/ijgc-2019-000862",
    "journal": "International journal of gynecological cancer : official journal of the International Gynecological Cancer Society",
    "keywords": [
        "local",
        "neoplasm recurrence",
        "quality of life (PRO)/palliative care",
        "surgical stomas",
        "urinary bladder neoplasms",
        "uterine cervical neoplasms"
    ],
    "methods": null,
    "publication_date": "2020-11-25",
    "pubmed_id": "33229410\n18875031\n28594725\n16426668\n25014540\n14782163\n2767518\n3336101\n24330062\n21747259\n19176235\n31520213\n26802857\n30263984\n29159738\n25751793\n32118803\n31473663\n30877144\n29355572\n26723571\n2709507\n22892363\n24874498\n27654884\n22045349\n0\n14017346\n5332687\n5475799\n31651306\n26029296\n3411658\n3586143\n4029230\n30180977\n6387181\n28823394\n15072884\n26414610\n3586146\n21497841\n22004164\n32796088\n31402112\n15688924\n30414740\n24362721\n14766266\n18070190\n18499186\n10504662\n26121919\n28095995\n23480870\n9731836\n16133733\n7670684\n29500521\n12576827\n31135430\n26414609\n12074398\n26620844\n24913090\n30385155\n19558757\n31796531\n15118628\n28192632\n25440985\n28220593\n15099977\n29976469\n30380365\n29169454\n25623371\n32079710\n31792087\n29960710\n31645426",
    "results": null,
    "title": "Urinary diversion after pelvic exenteration for gynecologic malignancies.",
    "xml": "<Element 'PubmedArticle' at 0x788503c6f010>"
}