[A method for urinary diversion in cystectomy for transitional-cell bladder cancer]

Modified cystectomy with formation of colonic urine reservoir and dry abdominal urostomy was performed in 12 patients with transitional cell carcinoma of the bladder T1-2NO-1M0. Four patients were previously treated surgically, received drugs or radiation. 8 patients were untreated. Early after surgery 1 patient died of hypostatic bronchopneumonia, 2 patients died 14-17 months after discharge from hospital of cardiovascular disorder, 4 patients were lost for follow-up, the rest 5 patients are alive and socially fit. It is inferred that the above cystectomy is functionally and rehabilitatively appropriate for bladder cancer patients. Modification of some operative stages improves treatment outcomes.