[Vesical replacement after cystectomy for tumor of the bladder]

Replacement of bladder after cystectomies avoids urinary diversion. It allows suboptimal natural miction, especially during the day. Current surgical techniques allow reconstruction of the bladder with detubulated ileal small bowel. This major procedure is achievable if the patient performance status is satisfactory and if urethra can be conserved. Bladder replacement is also feasible in women in selected cases. There is a need for long-term follow-up because of the risk of urological complications, especially ureteral stenosis and metabolic disorders.