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Updated: Jul 1, 2026
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Published on: May 19, 2022
[Radical cystectomy as a muscle-invasive bladder cancer treatment in elderly patients]
J A March Villalba1, J M Martínez Jabaloyas, F Pastor Hernández
1Servicio de Urología del Hospital Clínico Universitario de Valencia, Valencia. joseantoniomarch@hotmail.com
Introduction:
Radical cystectomy in elderly is a controversial issue that increases importance overtime because average life span is growing.
Objective:
The purpose of our work was to analize the differences about perioperative and later outcomes between ages of patients with muscle-invasive bladder neoplasm treated with radical cystectomy.
Material And Methods:
We retrospectively reviewed the records of patients who underwent radical cystectomy for muscle-invasive bladder cancer. Two age groups were compared: < 70-years-old at time of cystectomy (n = 55) and > or = 70 years (n = 57).
Results:
There was no difference between both age groups about: time of surgery, intraoperative complications (< 70 = 21,8%, > or = 70 = 31,6%), postoperative mortality (< 70 = 3,6%, > or = 70 = 8,8%), minor (< 70 = 18,2%, > or = 70 = 26,3%) and major medical postoperative complications (< 70 = 7,3%, > or = 70 = 8,8%), late outcomes as cancer-specific morby-mortality and actuarial overall survival stratified by patient age. The rate of major postoperative complications (< 70 = 23,6%, > or = 70 = 43,9%) as well as the mean length of hospital stay (< 70 = 10,2, > or = 70 = 15,2 days) differed significantly between the two age groups. Age and cardiovascular risk factors were independient predictive factors of mayor postoperative complications.
Conclusions:
Radical cystectomy could be performed in carefully selected elderly patients.
