[Surgical treatment of cancer of the bladder]

In the Saguenay-Lac-Saint-Jean area, an abnormal incidence of bladder cancer bas been identified. This incidence is an effect of the important industrial environment and the etiology has been identified. A review of the surgical treatment is actually done. Following this evaluation, we have made a choice in our medical environment (the ileal conduit or the detubularised ileal bladder for a replacement after a radical cystectomy). For the 1970 to 1997 period, a statistic statement has been done and shows the patients survival in accordance with the grade and the stage. A more appropriate treatment should be given in T3A and T3B stages. In conclusion, we have instituted a group of stimulus in the industrial environment to improve the survival for the next decades.