Is XXXX of the urethra at the time of radical cystectomy and orthotopic neobladder urinary diversion mandatory?

@entity1 @entity1494 @entity5 @entity150 @entity2585
INTRODUCTION: This study was aimed at analyzing the need for routine use of @entity2585 ( @entity2585 ) before performing orthotopic neobladder (ONB) after radical cystectomy for @entity150 . MATERIALS AND METHODS: A total of 233 @entity1 underwent radical cystectomy from January 2000 to June 2013. Of these, 151 (65.6%) @entity1 were planned for ONB. In the initial 109 (72%) @entity1 , @entity2585 of urethral margin was performed, but, in the subsequent 42 (28%) @entity1 , frozen section of urethral margin was not sent. Impact of hydroureteronephrosis, @entity5 size and location of @entity5 in relation to the @entity1494 on the status of the urethral margin was analyzed. RESULTS: Only three of the 109 (2.7%) @entity1 had a positive urethral margin. Two of them had ileal conduit and one, after negative re-resection, had ONB. Although none of the factors was found to be significant, all three @entity1 with a positive urethral margin had growth at the @entity1494 and died of @entity5 at a mean follow up of 29.33    18.3 months, without urethral recurrence. Among the negative @entity2585 (106), two @entity1 had recurrence in the penile urethra. The mean follow-up was 46.3    25.1 months. None of the @entity1 without @entity2585 (42) had urethral recurrence at the mean follow-up of 36    9.3 months. Of the 28 @entity1 who had their growth located at the @entity1494 , three had positive @entity2585 , while none with growth away from the @entity1494 had positive @entity2585 . CONCLUSION: Routine @entity2585 of the urethra before performing ONB can be avoided in those @entity1 where the @entity5 does not reach the @entity1494 .
