The Use of Regenerative Medicine in the Management of Invasive Bladder Cancer

Muscle invasive and recurrent nonmuscle invasive bladder cancers have been traditionally treated with a radical cystectomy and urinary diversion. The urinary diversion is generally accomplished through the creation of an incontinent ileal conduit, continent catheterizable reservoir, or orthotopic ne...

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Main Authors: Matthew E. Hyndman, Deborah Kaye, Nicholas C. Field, Keith A. Lawson, Norm D. Smith, Gary D. Steinberg, Mark P. Schoenberg, Trinity J. Bivalacqua
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2012/653652
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author Matthew E. Hyndman
Deborah Kaye
Nicholas C. Field
Keith A. Lawson
Norm D. Smith
Gary D. Steinberg
Mark P. Schoenberg
Trinity J. Bivalacqua
author_facet Matthew E. Hyndman
Deborah Kaye
Nicholas C. Field
Keith A. Lawson
Norm D. Smith
Gary D. Steinberg
Mark P. Schoenberg
Trinity J. Bivalacqua
author_sort Matthew E. Hyndman
collection DOAJ
description Muscle invasive and recurrent nonmuscle invasive bladder cancers have been traditionally treated with a radical cystectomy and urinary diversion. The urinary diversion is generally accomplished through the creation of an incontinent ileal conduit, continent catheterizable reservoir, or orthotopic neobladder utilizing small or large intestine. While radical extirpation of the bladder is often successful from an oncological perspective, there is a significant morbidity associated with enteric interposition within the genitourinary tract. Therefore, there is a great opportunity to decrease the morbidity of the surgical management of bladder cancer through utilization of novel technologies for creating a urinary diversion without the use of intestine. Clinical trials using neourinary conduits (NUC) seeded with autologous smooth muscle cells are currently in progress and may represent a significant surgical advance, potentially eliminating the complications associated with the use of gastrointestinal segments in the urinary reconstruction, simplifying the surgical procedure, and greatly facilitating recovery from cystectomy.
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publishDate 2012-01-01
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series Advances in Urology
spelling doaj-art-be9708d03f87459cbc869511ba880a762025-02-03T05:45:27ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/653652653652The Use of Regenerative Medicine in the Management of Invasive Bladder CancerMatthew E. Hyndman0Deborah Kaye1Nicholas C. Field2Keith A. Lawson3Norm D. Smith4Gary D. Steinberg5Mark P. Schoenberg6Trinity J. Bivalacqua7Southern Alberta Institute of Urology, University of Calgary, Alberta, T2V 1P9, CanadaThe James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD 21287-2101, USASouthern Alberta Institute of Urology, University of Calgary, Alberta, T2V 1P9, CanadaSouthern Alberta Institute of Urology, University of Calgary, Alberta, T2V 1P9, CanadaUniversity of Chicago Medical Center, Chicago, IL 60637, USAUniversity of Chicago Medical Center, Chicago, IL 60637, USAThe James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD 21287-2101, USAThe James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD 21287-2101, USAMuscle invasive and recurrent nonmuscle invasive bladder cancers have been traditionally treated with a radical cystectomy and urinary diversion. The urinary diversion is generally accomplished through the creation of an incontinent ileal conduit, continent catheterizable reservoir, or orthotopic neobladder utilizing small or large intestine. While radical extirpation of the bladder is often successful from an oncological perspective, there is a significant morbidity associated with enteric interposition within the genitourinary tract. Therefore, there is a great opportunity to decrease the morbidity of the surgical management of bladder cancer through utilization of novel technologies for creating a urinary diversion without the use of intestine. Clinical trials using neourinary conduits (NUC) seeded with autologous smooth muscle cells are currently in progress and may represent a significant surgical advance, potentially eliminating the complications associated with the use of gastrointestinal segments in the urinary reconstruction, simplifying the surgical procedure, and greatly facilitating recovery from cystectomy.http://dx.doi.org/10.1155/2012/653652
spellingShingle Matthew E. Hyndman
Deborah Kaye
Nicholas C. Field
Keith A. Lawson
Norm D. Smith
Gary D. Steinberg
Mark P. Schoenberg
Trinity J. Bivalacqua
The Use of Regenerative Medicine in the Management of Invasive Bladder Cancer
Advances in Urology
title The Use of Regenerative Medicine in the Management of Invasive Bladder Cancer
title_full The Use of Regenerative Medicine in the Management of Invasive Bladder Cancer
title_fullStr The Use of Regenerative Medicine in the Management of Invasive Bladder Cancer
title_full_unstemmed The Use of Regenerative Medicine in the Management of Invasive Bladder Cancer
title_short The Use of Regenerative Medicine in the Management of Invasive Bladder Cancer
title_sort use of regenerative medicine in the management of invasive bladder cancer
url http://dx.doi.org/10.1155/2012/653652
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