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    Radical Cystectomy in Elderly Patients: Predicting Complications and Mortality, Technical Aspects and Postoperative Care
    (Galenos Yayincilik, 2015) Kuyumcuoglu, Ugur; Ozdedeli, Kaan
    Bladder cancer is one of the leading cancers all over the world and is the fifth among the cancer related mortality. Radical cystectomy and urinary diversion surgery; even if it has lost its traditional morbidity and mortality rates, still stands as one of the serious and major operations in urologic armamentarium. Quality of life issues are gaining much more importance in the new millennium with the significantly increased life expectancy. As demonstrated in many studies, the age of the patient is a factor increasing morbidity and mortality rates in radical cystectomy and urinary diversion. In the last decades beside geriatric patients' increased expectancies, new developments in surgical techniques and materials, postoperative care and anesthetic agents and techniques, the morbidity and mortality rates of radical cystectomy has reached to acceptable levels in this population as well as the quality life issues. As demonstrated in contemporary large clinical series, centers with high volume of patients, patient selection which will be made by considering postoperative care and comorbidity are remarkable since they are factors increasing the success.
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    An update on palliative therapy in advanced prostate cancer
    (Galenos Yayincilik, 2014) Ozdedeli, Kaan; Kuyumcuoglu, Ugur
    Advanced prostat cancer is a progressive and debilitating disease which may lead to complex physical and emotional complications due to disease's progression and treatment morbidities. Physical complications like pain, skeletal complications, hot flushes, fatique, gastrointestinal and lower urinary dysfunction as well as the emotional problems may result in severe alterations in disease progresion and Qol parameters. Current approach favors an early and more meticilous palliative care, along with the primary treatment of the disease. Multidisiplinary treatment must be the choice in this stage of the disease which lacks significant evidence based data due to its complex symptomatology and deficiencies in current health systems. Patient's education, communication, emotional support and periodical monitorisation of quality of life are important issues that have to be included necessarily in advanced prostate cancer.