Carcinoma of the bladder treated by segmental resection

Area of Science:

• Urology
• Oncology

Background:

• Bladder cancer treatment has evolved, with surgery being a primary modality.
• Segmental resection and total cystectomy are established surgical options for bladder carcinoma.

Purpose of the Study:

• To evaluate the efficacy of segmental resection for bladder carcinoma.
• To compare survival rates of segmental resection with other treatment modalities.

Main Methods:

• Retrospective review of 45 patients with bladder carcinoma treated via segmental resection between 1955 and 1976.
• Analysis of survival rates based on tumor grade and stage.

Main Results:

• Survival rates for segmental resection were comparable to other reported series and favorable compared to total cystectomy.
• High-grade (III-IV) stage A bladder tumors had a 100% recurrence and 40% 5-year survival.
• Low-grade (I-II) stage A tumors had a 28% recurrence and 86% 5-year survival.

Conclusions:

• Segmental resection can yield favorable survival rates for bladder carcinoma.
• High-grade bladder tumors necessitate more aggressive therapeutic approaches.
• Extensive segmental resection, even with ureteroneocystostomy, offers a positive 5-year survival outlook.