10–YEARS AFTER A SIMPLE TECHNIQUE OF NERVE SPARING RADICAL CYSTECTOMY FOR T2 BILHARZIAL BLADDER CANCER

Aim: This study was done to evaluate the results of the surgical technique described herein regarding the
post-operative functional results as well as achievement of loco-regional control of the disease and to assess 
the long term outcomes.
Patients and Methods: Between January 1999 and December 2003, 40 selected, consecutive male patients 
(median age: 50 years, range; 30-67) with stage T2 biharzial bladder cancer were treated by the technique 
described herein of nerve sparing radical cystectomy and urinary diversion at Cairo National Cancer Institute 
hospital and in the Pyramid hospital at Cairo. The patients were followed up for 10 years after surgery to 
detect any local or distant recurrence of the disease and to evaluate their potency. 
Results: At 10-Year follow-up period (median follow-up period was 138 months, range:109-168): 34 (85%) 
patients were alive and free of cancer, from whom 26 (65%) patients were potent and 8 (20%) patients have 
lost their erectile function. 3 (7.5%) patients died from local recurrence of the disease at 38, 53, 75 months after 
surgery, while 3 (7.5%) patients died from causes other than cancer at 113, 115 and 130 months after surgery.
Conclusion: To conclude that the aforementioned described modifications of the technique of standard 
radical cystectomy, which is simple, reduced the morbidity of radical cystectomy without altering its 
therapeutic efficacy.