Clinical Observation on the Total Cystectomy of the Bladder tumor / 대한비뇨기과학회지

ABSTRACT

A retrospective analysis of 9 patients of bladder tumor who underwent total cystectomy in the Department of Urology. Kyung Hee University Hospital, during the period from May, 1977 to April, 1981. The results were as follows 1. The age of the patients ranged from 52 to 65 years, the average age 59.8 years, and male to female ratio was 7 to 2. 2. Hematuria was the most commonly found in 9 patients, frequency in 5 patients, and dysuria in 3 patients. 3. Errors in clinical staging were also common-1 case was overstaged, 3 cases understaged, 3 cases corresponded and 2 casts inadequate for the clinical staging, but the pathologic grade proved to be equal that estimated from the 2 cases of transurethral biopsy. 4. There were 8 cases of total cystectomy and 1 case of radical cystectomy, the methods of urinary diversion and remodeling of urinary tract were ileal conduit in 6 cases, bilateral cutaneous ureterostomy in 3 cases. 5. Operative death was none but the complications were followed by total cystectomy and urinary diversion in 8 cases as wound disruption, pneumonia, atelectasis, irritation dermatitis, vaginal vault bleeding, pyelonephritis, stromal stricture, stricture of ureteroileal anastomosis site and delayed wound healing.