Orthotopic neobladder (ONB) reconstruction is a continent urinary diversion procedure increasingly used in patients with muscle-invasive bladder cancer following radical cystectomy (RC). It represents a valid alternative to the ileal duct in suitable patients who do not prefer a stoma and are motivated to undergo adequate training of the neobladder. Careful patient selection, taking into account the absolute and relative contraindications for ONB as well as an adequate recovery protocol after surgery are integral to the success of this procedure and the oncological and functional outcomes. The objective of this review is to summarize the current data on RC with ONB in terms of patient selection, preoperative preparation, surgical techniques and functional (continence and sexual activity) and oncological outcomes, with particular attention to the management of complications and the impact on quality of life (QoL).

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14.2AE1.8 kJ, p[0.028). All trials with the regular pulse duration required 1 fiber stripping, but no fiber stripping was required with the stone stabilization mode. Shorter procedure time resulted in a $731.9 cost savings/case with the stone stabilization mode. When modeling cost factoring in the original purchase price, the laser with the long pulse stone stabilization mode became cost effective after treating 81, one cm kidney stones.CONCLUSIONS: Long pulse duration Ho:YAG laser with stone stabilization mode decreased procedure times and total energy providing a more cost-effective option for high-volume centers.