Outcomes of bladder cancer undergoing radical cystectomy: A single-institution experience

Abstract

Objectives: The objective of the study is to evaluate the functional outcome and postoperative complications of patients with bladder cancer undergoing radical cystectomy. Methods: This was a prospective, single-center study conducted between January 2013 and October 2016. Patients of either sex, aged more than 18 years, diagnosed with bladder cancer and treated with radical cystectomy and urinary diversion were enrolled in this study. Demographic and clinical characteristics, therapy and functional outcome details, and details of complications were collected. Results: A total of 94 patients were enrolled in the study. Overall, the mean age was 53.11 years and 74 (78.72%) patients were male. Of the 94 patients, 61 patients underwent radical cystectomy with ileal conduit (IC) and 30 patients had orthotopic neobladder. The sigmoid diversion was done in two patients, and one patient had a continent diversion. Four patients succumbed to mortality. Two patients had a recurrence at the urethral margin in IC patients. The functional outcome was found to be better in the neobladder group compared to the IC group. Conclusion: This study provides extensive information on outcomes of bladder cancer undergoing radical cystectomy. Studer's neobladder had slightly improved outcomes than IC.