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588 An Audit on CT Staging of Patients Prior To Robotically Assisted Radical Cystectomy


 
 
 Muscle invasive bladder cancer(MIBC) is a complex disease requiring aggressive management. CT of the Thorax, Abdomen and pelvis is the optimal form of staging including CT urography for complete examination, according to the European Association of Urology. Cure is unlikely in the presence of metastases. The aim was to assess if patients were appropriately staged prior to Robotically Assisted Radical Cystectomy (RARC)
 
 
 
 Retrospective review of medical records of all RARC between Jan 2020 – June 2020 at our district general hospital. Demographics, date of cystectomies and date of imaging was collected.
 
 
 
 Seventeen patients were recruited. Median age of patients was 73years and the male to female ratio was 7:3. All (100%) of them had CT Thorax, abdomen and pelvis done prior to RARC. Of the patients studied 24% of them did not have CT Urography done. CT staging of 53% of patients was within 30 days prior to Cystectomy, 35% had CT staging between 30 – 90 days and 12% had CT staging between 90 and 200 days.
 
 
 
 Findings showed good adherence to the guidelines requiring CT staging prior to RARC. To prevent understaging of MIBC prior to RARC, clarifications of timeframe between CT staging and RARC is required.
