[Necessity of bladder extirpation performance in the treatment of severe complications of its cancer].

Impact of bladder extirpation on quality of life in the patients, suffering severe complications of bladder cancer, was studied and efficacy of the urine turn off was determined. Results of treatment of 52 patients with complicated course of the bladder cancer, to whom bladderectomy was performed for vital indications using various methods of the urine turn off, were analyzed. After performance of intrarectal turn off of the urine with formation urinal reservoir or ileo-neobladderplasty there was noted the lowest rate of ureterohydronephros occurrence.

[Radical cystectomy with ileoneocystoplasty].

There were examined 32 patients with cancer of bladder, to whom radical cystectomy with ileoneocystoplasty in the author's modification was performed. Operative intervention was done for the transitional cell carcinoma of bladder in T2-T4 stage. The method of the bladder formation using resection of the ileum segment 40-60 cm in length was adduced.