Ileocaeco-urethroplasty after total cystectomy for bladder cancer

Eleven cases of ileocaeco-urethroplasty, performed over a 2-year period, are presented. The patients had low grade bladder cancer infiltrating into but not extending beyond the muscle layer (B-T3a). Following radiotherapy a total cystectomy was performed up to the verumontanum; afterwards the prostatic cuff was anastomosed to an ileocaecal segment. The patients have been followed up for 13 to 39 months. One died from metastases after 30 months. The others are alive and in good psychological condition, with satisfactory micturition. We believe this surgical option deserves more careful consideration.