Editing Muscle-Invasive Bladder Cancer (section)

===Patient counseling===
*For patients with newly diagnosed MIBC, curative treatment options should be discussed based on both patient comorbidity and tumor characteristics. Patient evaluation should be completed using a multidisciplinary approach.
*Prior to treatment, patients should be counselled regarding complications and the implications of treatment on quality of life (e.g., impact on continence, sexual function, fertility, bowel dysfunction, metabolic problems).
**'''Patients with'''
***'''Ileal conduit urinary diversion require external appliances and have risks of leakage or stomal complications.'''
***'''Continent cutaneous reservoirs require self-catheterization for the rest of their lives and have risks of incontinence via their stoma, stricture, pouchitis, pouch stones, and metabolic derangements.'''
***'''Neobladders have risks of incontinence (especially night-time), bladder neck contractures, voiding dysfunction with retention, and fistula formation'''
**'''Sexual dysfunction, metabolic and nutritional issues can also result from urinary diversions''' (Recall '''LSD ORGASMIC''' from [[Intestinal Segments and Urinary Diversion|Complications of Urinary Diversion]] notes)