The therapy included surgical exploration, complete resection of the urinoma and anterior pelvic exenteration
Due to the high mortality and morbidity this technique was modified over the years, and it was described a Posterior Pelvic Exenteration (resection of rectum, uterus and posterior vaginal wall), Anterior Pelvic Exenteration
(resection of bladder and uterus) and Supralevator Pelvic Exenteration (resection of pelvic organs at the level of levator muscle preserving the urogenital diaphragm) .
Ornstein, "Robotic assisted anterior pelvic exenteration
," Journal of Urology, vol.
Davis et al described a patient with disease metastatic to regional lymph nodes who was without evidence of disease 10 months after neoadjuvant platinum-5-FU and radiotherapy, anterior pelvic exenteration
, and adjuvant paclitaxel and carboplatin (10).