This week on BackTable Urology, Dr. Suzette Sutherland (University of Washington) and Dr. Drew Peterson (Duke University) explore the psychological and clinical challenges faced by genitourinary cancer survivors dealing with the urological consequences of cystectomy and urinary diversion.

First, they delve into the “Terrible Urological Five”, a set of criteria indicating when it might be necessary to consider cystectomy and urinary diversion. Dr. Peterson shares his insights on patient care, emphasizing how long-term follow-up and comprehensive care can transform survivors’ quality of life. He also addresses the psychological aspects of major urological surgery, highlighting the importance of acceptance and adjustment for patients and their families. Alongside specific medical considerations, the surgeons underscore surgical advancements that enhance safety and outcomes, reaffirming the potential for patients to regain a fulfilling life post-surgery.

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SHOW NOTES

00:00 - Introduction to Cancer Survivorship

08:06 - The Terrible Urological Five: When to Consider Cystectomy

23:09 - The Journey to Accepting a Cystectomy and Urinary Diversion

35:03 - Support Networks and Postoperative Quality of Life

38:53 - Concluding Thoughts and the Importance of Moving Forward