{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T15:33:43Z","timestamp":1786635223109,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To characterise contemporary practice patterns in female radical cystectomy (RC) across the UK and Ireland, focusing on preoperative counselling, operative strategies, and postoperative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods<\/jats:title>\n                    <jats:p>A 36\u2010item survey was distributed to consultant urologists performing RC, identified via the British Association of Urological Surgeons (BAUS) and Cancer Alliances. The questionnaire addressed surgeon demographics, preoperative assessment and counselling, operative decision\u2010making including organ\u2010 and nerve\u2010sparing techniques, and survivorship care. Responses were analysed descriptively; group comparisons were made using the Wilcoxon rank\u2010sum and Fisher's exact tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 64 surgeons responded (56.1% [64\/114]), representing 41 cystectomy centres (70.7% [41\/58]). Preoperative assessment of sexual activity (68.8%) and menopausal status (78.1%) was common, whereas sexual orientation (15.6%) and prolapse (26.6%) were rarely addressed. Female surgeons were significantly more likely to enquire about menopausal status (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.025). Counselling on sexual dysfunction (98.4%) and vaginal shortening (96.9%) was routine, but other complications, including prolapse (68.8%), menopause (82.8%), or fistula (6.3%), were inconsistently discussed. Organ\u2010sparing practice varied: 28.1% rarely or never performed organ preservation, citing oncological concerns. High\u2010volume centres were more likely to offer organ\u2010sparing RC (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.013). Over half reported inadequate access to female\u2010specific rehabilitation services, with most centres lacking formal pathways for vaginal complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Female RC practice across the UK and Ireland is heterogeneous, with clear gaps in preoperative counselling, uptake of organ\u2010sparing techniques, and survivorship care. There is an urgent need for standardised, evidence\u2010based pathways and consensus guidance to optimise outcomes for female patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70159","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T03:54:44Z","timestamp":1770004484000},"page":"708-715","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Contemporary practice patterns in female radical cystectomy: results of a\n                    <scp>UK<\/scp>\n                    and Ireland survey"],"prefix":"10.1111","volume":"137","author":[{"given":"Elizabeth","family":"Day","sequence":"first","affiliation":[{"name":"Department of Urology NHS Ayrshire and Arran  Crosshouse UK"},{"name":"Department of Targeted Intervention University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco Pio","family":"Bizzarri","sequence":"additional","affiliation":[{"name":"Department of Urology Cambridge University Hospitals NHS Foundation Trust  Cambridge UK"},{"name":"Department of Urology, Ospedale Isola Tiberina \u2010 Gemelli Isola Universita Cattolica del Sacro Cuore  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Waine","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Devon University Healthcare NHS Foundation Trust  Devon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6242-1327","authenticated-orcid":false,"given":"Rebecca","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Marsden NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam W.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Urology Cambridge University Hospitals NHS 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