[Ileal cystoplasty in bladder cancer]

We present our experience with bladder substitution in radical surgery for bladder cancer. Ileocapsuloplasty was performed in 40 patients. There were 2 postoperative deaths and 11 patients died from tumor recurrence or progression 2 to 10 years later. Two patients had urothelial tumor recurrence in the capsuloplasty. Day continence was good in 89.5% of the cases and 10.5% were partially continent. Night continence was good in 23.5%, partial in 23.5% and poor in the remaining 53% of the patients. Detubularized ileal cystoplasty was performed in 9 patients. Two patients have died; one early postoperatively and the other from tumor progression. Day continence was good in all of the patients and night continence was good in four of the seven patients that were evaluated.