Abstract:
Objective To explore the efficacy and technical points of complete preservation of female reproductive organ in radical cystectomy.
Methods In 2020 and 2021, two female patients with bladder cancer undergoing radical cystectomy in The First Affiliated Hospital of Naval Medical University were selected. The clinical conditions of the patients were evaluated before surgery, and the reproductive organs were completely preserved according to the patients' wishes during the operation. The patients were regularly followed up after surgery. The efficacy and prognosis of patients were evaluated.
Results The operation was successful and the two patients recovered well without surgery-related complications. The follow-up time for two patients were 22 months and 36 months. During the follow-up period, no tumor recurrence was found, and the scores of sexual function and quality of life were good. One patient was successfully pregnant at 17 months after surgery, and routine prenatal examination and non-invasive fetal DNA testing showed no abnormalities.
Conclusions Under the premise of strictly grasping the surgical indications, the complete preservation of female reproductive organs in radical cystectomy can improve patients' quality of life after surgery, especially protect the reproductive function of women of childbearing age.
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