[Advances in surgical techniques and results of radical cystectomies for bladder cancer. 106 patients]

Retrospective analysis of result of radical cystectomy at Cochin Hospital.

We report the results of a 106 patients series treated by radical cystectomy for bladder carcinoma after a 5-year period follow-up.

The extent of the tumour invasion according to pathological analysis was: pT1 or less: 26%, pT2 and pT3a: 33%, pT3b and over: 41%. Morbidity rate was 19% with a 7.5% reintervention rate. Long term complication rate was 31%, concerning essentially ureteral stenosis. A local recurrence or distant metastasis occurred in 35% of patients. Local recurrence rate was 10.7%. Cancer specific survival rates were 88%, 81% and 42% for pT1, pT2-pT3a, and pT3b patients respectively.

The present results confirm that radical cystectomy is the most effective curative treatment for invasive bladder carcinoma.