Surgical management of urological malignancy: Anaesthetic and critical care considerations

SummarySurgical resection of urological malignancy is increasingly performed due to advances in minimal access surgery and the capability to operate on patients with greater comorbidities. The ageing population implies that these procedures may feature even more frequently in the anaesthetic workload in the future. Here we describe the major pre-operative considerations for renal, bladder, prostate and testicular tumours. An overview of each of the specific procedures involved is provided, detailing operative parameters such as monitoring and patient positioning as well as common complications. Analgesia and fluid management in the post-operative period are addressed. We also summarise adjunctive radiotherapy and chemotherapy, and comment on their implications for peri-operative management.