What is included in outpatient preoperative care for radical cystectomy?

Updated: Nov 27, 2016
  • Author: Michael Christopher Large, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

See the list below:

  • Consideration of neoadjuvant chemotherapy for stage pT2 disease or higher: Adequate renal function (estimated glomerular filtration rate >60 mL/min) is required to administer cisplatin-based regimens (MVAC or gemcitabine/cisplatin). Cisplatin-based neoadjuvant chemotherapy is the preferred standard when possible, as it has been shown to improve survival rates. Neoadjuvant chemotherapy is preferred over adjuvant chemotherapy because of improved patient tolerance.

  • Evaluation and optimization of cardiopulmonary disease

  • Stoma marking and counseling, if necessary

  • Autologous blood donation, if desired

  • Bowel preparation, with surgeon's choice of clear-liquid diet, magnesium citrate, Phospho-soda, GoLYTELY, or enemas

  • Confirmation of urine sterility

  • Smoking cessation


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