BackTable / Urology / Podcast / Episode #17

Perioperative Optimization for Radical Cystectomy Patients (Part 1)

with Dr. Angie Smith

We talk with Dr. Angie Smith about perioperative measures to optimize radical cystectomies.

Perioperative Optimization for Radical Cystectomy Patients (Part 1) with Dr. Angie Smith on the BackTable Urology Podcast)
Ep 17 Perioperative Optimization for Radical Cystectomy Patients (Part 1) with Dr. Angie Smith
00:00 / 01:04

BackTable, LLC (Producer). (2021, October 7). Ep. 17 – Perioperative Optimization for Radical Cystectomy Patients (Part 1) [Audio podcast]. Retrieved from https://www.backtable.com

Earn CME

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs.
Follow the button below to get started with CMEfy.

BackTable CMEfy button

Stay Up To Date

Follow:

Subscribe:

Sign Up:

Podcast Contributors

Dr. Angie Smith discusses Perioperative Optimization for Radical Cystectomy Patients (Part 1) on the BackTable 17 Podcast

Dr. Angie Smith

Dr. Angela Smith is the Director of Urologic Oncology at the UNC Lineberger Comprehensive Cancer Center in North Carolina.

Dr. Aditya Bagrodia discusses Perioperative Optimization for Radical Cystectomy Patients (Part 1) on the BackTable 17 Podcast

Dr. Aditya Bagrodia

Dr. Aditya Bagrodia is an associate professor of urology and genitourinary oncology team leader at UC San Diego Health in California and adjunct professor of urology at UT Southwestern.

Show Notes

In this episode of BackTable Urology, Dr. Aditya Bagrodia and Dr. Angie Smith from UNC School of Medicine discuss peri-operative measures to optimize radical cystectomy outcomes.

First, the doctors start by explaining their approaches to initial cystectomy discussions with bladder cancer patients. Dr. Smith usually provides a walkthrough of the surgery and discusses complication rates with her cystectomy patients. Because sexual dysfunction and infertility are possible long-term complications of the procedure, she emphasizes the importance of transparency and expectation management in patients.

Next, the doctors discuss the optimal timing for a cystectomy. Dr. Smith and Dr. Bagrodia usually wait at least 4 to 6 weeks after chemotherapy to perform a cystectomy. However, because Dr. Smith believes that timing is the most crucial factor in a cystectomy, she prefers to perform surgery sooner rather than later. For this reason, she performs both open and robotic surgery, depending on which approach can be done sooner. Furthermore, to anticipate a patient’s post-operative regimen, Dr. Smith uses the comprehensive geriatric assessment because she prioritizes the functional status of a cystectomy patient most. In addition to this assessment, she will evaluate a patient’s activities of daily living, hearing and vision deficits, and fall risk.

Finally, Dr. Smith emphasizes the importance of involving multiple interdisciplinary health professionals, such as medical and radiation oncology, nutritionists, wound/ostomy/continence nurses, geriatricians, and pelvic floor physical therapists. She notes that “prehabilitation”, or using physical therapy to improve a patient’s strength and fitness before surgery, is a new feasible pre-operative strategy, but its effects on distal post-operative outcomes have not yet been determined.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

Earn CME When You Listen to BackTable CMEfy

Up Next

Management of Muscle Invasive Bladder Cancer with Dr. Siamak Daneshmand on the BackTable Urology Podcast)
Perioperative Optimization for Radical Cystectomy Patients (Part 2) with Dr. Angie Smith on the BackTable Urology Podcast)
Management of Testicular Cancer with Dr. Aditya Bagrodia and Dr. Jose Silva on the BackTable Urology Podcast)
Management of Bladder Cancer with Dr. Aditya Bagrodia and Dr. Jose Silva on the BackTable Urology Podcast)
Minimally Invasive Focal Therapy for Prostate Cancer with Dr. Amit Patel and Dr. Ranko Miocinovic on the BackTable Urology Podcast)

Articles

Topics

Bladder Cancer Condition Overview
Radical Cystectomy Procedure Prep

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.