Seth P. Lerner, MD, FACS, presented “Pelvic Lymphadenectomy and Radical Cystectomy – Current Standard of Care” at the 27th Annual Innovations in Urologic Practice conference on September 22nd, 2023.

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How to cite: Lerner, Seth P. Pelvic Lymphadenectomy and Radical Cystectomy – Current Standard of Care.” September 2023. Accessed Dec 2024. https://grandroundsinurology.com/pelvic-lymphadenectomy-and-radical-cystectomy-current-standard-of-care/

Pelvic Lymphadenectomy and Radical Cystectomy – Current Standard of Care – Summary

Seth P. Lerner, MD, FACS, reviews the current standard of care for pelvic lymphadenectomy and radical cystectomy in treating bladder cancer. He begins by focusing on the technique and extent of pelvic lymphadenectomy performed in conjunction with radical cystectomy. He illustrates that an extended approach can improve oncologic outcomes, including better cancer-specific survival and overall survival rates, by ensuring more comprehensive removal of potential metastatic sites.

Dr. Lerner then addresses advancements in surgical techniques, including robotic-assisted surgery for radical cystectomy and lymphadenectomy. He discusses the potential benefits of robotic surgery while also considering the challenges and learning curve associated with these technologies.

Dr. Lerner concludes with a review of postoperative management and follow-up care and discusses future directions and ongoing research. He emphasizes the need for continued investigation into optimizing surgical techniques, enhancing patient outcomes, and integrating new therapeutic modalities with surgery.

 

About The 27th Annual Innovations in Urologic Practice:

Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma; men’s health topics like male infertility, andrology, and sexual dysfunction; OAB and voiding dysfunctions; and ways to diagnose and treat infections in the urology patient.

For further educational activities from this conference, visit our collection page.