Page 19 - CANADIAN URINARY DIVERSIONS POSITION STATEMENT

Prehabilitation According to Neuzillet et al. (2017), the
Radical cystectomy remains the standard surgeon and the NSWOC, in collaboration with
treatment in patients with bacillus Calmette- nursing staff need to make sure the patient is
Guérin unresponsive non-muscle invasive well informed on every available option. 27
and muscle-invasive bladder cancer. It
is considered by the European Urology In the section that follows we explore the five
Association (EAU) as the most advanced principal urinary diversions examined by the
surgical procedure in urooncology. 49 task force.

A patient’s life expectancy, goals and
preferences should factor into the decision
and choice of urinary diversion. Regular
lifelong urological follow up is essential for
all patients who have had a urinary diversion.

Multiple authors reinforce the necessity of
counselling patients to discontinue tobacco
smoking, supplying sufficient information to
optimize nutrition and reinforcing the benefits
of physical activity. 50-52 Continued tobacco
smoking doubles the risk of complications.
53
Rammant et al. (2019) concludes that physical
activity interventions before and after radical
cystectomy for patients with bladder cancer
proved beneficial for their physical fitness,
muscle strength and some HRQOL domains. 52

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