Table 1

Pre-operative, peri-operative, and post-operative considerations

Pre-operative evaluationPeri-operative considerationsPost-operative care
PatientDiseaseHealthcare institution

  • Age

  • Previous treatments

  • Radiotherapy

  • Urinary continence

  • Co-morbidities

  • Social relationships

  • Sexual function

  • Body image

  • Stoma acceptance

  • Socioeconomic status

  • Primary tumor

  • Tumor size

  • Curative vs palliative

  • Bladder neck preservation

  • Autonomic innervation

  • Intestinal length

  • Vascularization

  • Extent of the resection

  • High-volume institution

  • Prehabilitation program (ERAS)

  • Experienced stoma therapist

  • Physical medicine and rehabilitation physician

  • Sexologist

  • Psychotherapists

  • Interventional radiology

  • Urologic endoscopy

  • No bowel preparation

  • Pre-operative stoma positioning

  • Immunonutrition

  • Flap association (omental J-flap vs pedicled flap)

  • Reduction of intra-operative bleeding

  • Protective maneuvers to avoid tumor spillage

  • Absorbable sutures/stapler devices

  • Adequate imaging

  • Stoma therapist supervision

  • Stoma management

  • ERAS recovery

  • Renal function monitoring

  • Ionic and metabolic balance

  • CT urography±opacification 10–12th day

  • Post-void residual volume measured by catheterization