Comparative Outcomes of Cutaneous Vesicostomy Versus Cystoscopic Valve Ablation in the Initial Management of Posterior Urethral Valves

    January 2025 in “ ARC Journal of Urology
    Alejandra Sataray-Rodriguez, Damilola Oladinni, Natasha Doshi, Bailey Patrick, Nicole Aust, Michael Sun
    TLDR Cutaneous vesicostomy and cystoscopic valve ablation both have pros and cons for managing posterior urethral valves.
    This review highlights the dermatological side effects of treatments for urological cancers, such as prostate, bladder, renal, and testicular cancers, which include surgery, chemotherapy, radiation therapy, and immunotherapy. These treatments, while improving survival, often lead to skin-related issues like dermatitis, alopecia, photosensitivity, hyperpigmentation, and scarring, affecting patients' quality of life and adherence to treatment. Chemotherapy is notably linked to alopecia and hand-foot syndrome, while radiation therapy often results in dermatitis and fibrosis. Immunotherapy can cause severe reactions like Stevens-Johnson syndrome. The psychosocial impact, particularly on body image and self-esteem, is significant but not well-studied. The review emphasizes the need for multidisciplinary management, including early dermatological care, patient education, and psychosocial support, and calls for future research on standardized protocols and personalized treatment to enhance holistic cancer care.
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