Single-stage versus two-stage diversion-cystectomy in treatment of bladder cancer: a comparative study

We have compared the results of 26 single-stage and 16 two-stage diversion-cystectomies performed for bladder carcinoma at the Helsinki University Central Hospital, Finland in the period December 1974-April 1983. All the patients underwent pre-cystectomy radiation. An ileal conduit urinary diversion was used in every patient. No benefit relative to surgical mortality or early and late complications seemed to be derived from using the staged procedure. The single-stage operation, in addition to sparing the patients the inconveniences of the second operation, saves social expenditure by reducing the total length of hospital stay and the total operating time. The two-stage procedure should, however, be considered for fragile patients and those with serious operative risk factors.