Four years experience with potency sparing, continence preserving radical cystectomy for carcinoma of the bilharzial bladder

ABSTRACT

Between May 1985 and May 1989, 27 patients underwent potency sparing radical cystectomy with dissection of the neurovascular bundles as described by Walsh. The bladder was reconstructed using the ileocecal segment, and the Teniae coli were interrupted with multiple transverse incisions in order to obtain a high compliance reservoir overall. 60% of these patients were potent postoperatively. Day and night continence was achieved in 81% of the cases. Eleven patients, constituting 40% are still alive and free of tumor, after a follow-up period between 27 and 63 months. The results of the report were presented and discussed