[Short- and long-term results of cystectomy in localized bladder cancer]

Long-term results of cystectomy involving formation of ureterosigmoid anastomosis and ureterocutaneostomy were studied in 51 cases of cancer of the urinary bladder. Half the patients with T2 tumors and 23%--with T3 tumors survived for 3 years and longer. Tumor process generalization caused death long after operation in 64.2%, while renal failure--in 32.1%. During 1-2 years of follow-up, such pathological changes in uretero-intestinal anastomoses as abnormally large diameter of ostium ureteris and cicatricial stricture were identified in 14 cases and stricture of uretero-cutaneous stoma--in 2 cases. The best results in formation of ureterosigmoid anastomosis were obtained by application of transsigmoid procedures which assured reflux prevention, retention change-free ureters alone being eligible for use in anastomosis.