[Surgery of infiltrating bladder tumors]

Surgical treatment of transitional bladder tumours is based on liberal resection of the bladder. After cystectomy, reconstitution of the urinary tract is required for urinary excretion and patient comfort. The bladder can be replaced by a segment of intestine detached from the digestive tract. Another mean is urinary diversion at the abdominal wall by a direct or continent fistula. The patient should be seen 6 weeks after surgery to assess the quality of the surgical assemblage, the absence of distension of the upper urinary tract and the degree of patient comfort. Subsequently, the patient should be seen every 6 months. Early treatment of bladder cancer leads to cure at 5 years in 50 to 75% of cases.