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Uro Today and comments re RC

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I subscribe to www.urotoday.com and receive copies of new papers written by Urologists world wide on Bladder cancer. Only one in about a dozen are of any interest to me but I find them a great source of further information re BC. If heading of paper is of interest, one click gets you a one page summary. In two cases the subject was so relevant to me that I paid a small fee to obtain a full copy of the paper.
One recent paper was of a Slide Presentation given by a leading US Urologist to a Conference in South America in which he explained his technique for an RC.
Particular issues I found of interest were that the complication rate was a high 42% mainly what he called ileus, meaning some form of blockage in intestines or bowels, usually treated easily but he still felt was way too high. In discussion he recommended walking as soon as possible and as much as possible to reduce chances of such a blockage forming from some internal build up, not food, I cannot find the right words just now. Many of you have recommended walking asap but this was the first time I had seen a reason for it, and I had assumed mainly to reduce chances of blood clots. I also noted that in his Hospital that does about 100 RC's pa, that 2003 was the first year where an equal number of male patients had neobladders and Ileal Conduits. In 2005 there were more Neobladders, ratio 5 to 4, but in 2007 the ratio was 6 to 5 in favour of Ileal conduits.
Second issue were graphs presented that showed a significantly higher rate of mortality after RC, from patients who waited longer than 3 months after being diagnosed with Invasive BC. ie the sooner the RC is done the longer the life expectancy of the patient.

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Cancer Surgery Bladder cancer

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Ileus is usually used in this instance to discuss so called "paralytic" ileus. This is a phenomenon whereby the small intestine ceases peristalsis for a period of time usually or always following abdominal or pelvic surgery. This is why after rc, a patient is NPO (no food or drink by mouth) for a period of time following the surgery, until there is bowel activity again. Walking apparently speeds up the process. It is also advantageous in reducing the risk of venous thrombosis and thromboembolism (blood clots and clots breaking off and traveling to a more dangerous site most often the lungs).

JJ

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