[Cystectomy in bladder cancer patients]

Within the last 12 years, 125 patients have been subjected to cystectomy which makes up 18.0% of the total of 691 surgical patients. The majority of patients were at T3 (64) or T2 stage (50) whereas T1 and T4 tumors were observed in 8 and 3 cases, respectively. Four patterns of urine derivation were used after cystectomy: ureterosigmoid anastomosis--in 8 patients, one-stage cystectomy with ileocystoplasty--23, double-stage cystectomy with ileocystoplasty--48 and ureterocutaneostomy--in 46 cases. Ileocystoplasty proved the best procedure for urine derivation. Depending on patient condition, it may follow cystectomy immediately or be carried out in 2 stages: cystectomy with ureterocutaneostomy followed by ileocystoplasty 2-4 months after the first operation.