CYSTECTOMY WITH THE PROSTATE AND SEMINAL VESICLES BEING PRESERVED: PROGNOSIS AND REALITY

The results of cystectomy (CE) in bladder cancer, performed in the standard and modified modes, were compared. The case histories of 153 patients operated on, by completely or partially preserving the prostate, were analyzed. With the extent ≤ T2N0, the rates of local and distant dissemination after standard and modified CE was 4%/2.1% and 9.5%/10.9%, respectively; i.e. the values did not differ greatly. The data of the performed analysis suggest that the compared values after modified CE are not worse than those after standard CE with orthotopic cystoplasty and do not allow one to doubt the oncological appropriateness in reducing the volume of an operation in specially selected patients.