Ileocaeco-urethroplasty after Total Cystectomy for Bladder Cancer

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Abstract
Eleven cases of ileocaeco-urethroplasty, performed over a 2-yr period, are presented. The patients had low grade bladder cancer infiltrating into but not extending beyond the muscle layer (B-T3a). Following radiotherapy a total cystectomy was performed up to the verumontanum; afterwards the prostatic cuff was anastomosed to an ileocecal segment. The patients have been followed up for 13-39 mo. One died from metastases after 30 mo. The others are alive and in good psychological condition, with satisfactory micturition. It is believed that this surgical option deserves more careful consideration.