Partial Cystectomy in the Treatment of Transitional Cell Carcinoma of the Bladder

Abstract

Between 1950-1974, 35 men and 10 women underwent partial cystectomy for transitional cell carcinoma of the bladder. Indications, contraindications and the principles of technique for partial cystectomy as therapy for transitional cell tumors of the bladder are discussed. All patients were evaluated postoperatively, with cystoscopic examination every 3 mo. for 1 yr, every 6 mo. for 3 yr and then at yearly intervals if no tumors were detected. None of the patients received preoperative irradiation. Eight ureters were re-implanted and 6 prostate glands were enucleated at the time of partial cystectomy. There was 1 death in the immediate postoperative period. Complications developed in 13 patients, 3 of which were considered major. When recurrences were noted appropriate therapy was performed as indicated. Irradiation was the most commonly used method to treat distant metastases. The over-all 5 yr survival rate is 57.7% (26 patients). Some 34 patients were followed for 10 yr. The survival rate for this group of patients was 32.4% (11 patients). The results of this study correlate well with other published reports.