The aim of this study is to evaluate the results and complications after
radical cystectomy due to carcinoma of the bladder and to point out the
significance of post-operative physical treatment and rehabilitation of these
patients. Material and method: In the period of 3 years (2007.-2010.), at the
Urological Clinic in Belgrade, we performed 195 total cystectomies for
invasive bladder carcinoma with the use of different types of urinary
diversion. The operation was performed in 162 men (83%) and 33 women (17% ).
Results: Survival, complications and postoperative recovery was dependent on
the type of urinary diversion which was used, stage of disease and general
condition of patients before surgery. The worst result was achieved in
patients who underwent ureterocutaneostomy and the complications were
represented in 30% of patients. In the group of patients where the ileal
conduit was applied, complications were recorded in 10% of patients, while
mortality was 5%. In the group of patients where the continent urinary
diversion was performed, complications were recorded in 5% of patients in
mind of stecoral fistulas, urinary fistulas and ileus. Conclusion: The timely
application of the physical therapy and rehabilitation in these patients is
of great importance, because it reduces complications and allows faster
recovery and release from the hospital.
OC-0569: Incidence of severe gastrointestinal and urinary fistulas, bleeding and strictures: EMBRACE results
