Early Radical Cystectomy
Although the treatment of non-muscle invasive bladder cancer (NMIBC) is usually managed in a bladder-preserving manner, sometimes the performance of radical cystectomy cannot be avoided. Delayed cystectomy is related to worse oncological outcome; thus, early cystectomy (after bacillus Calmette-Guérin [BCG] failure) or immediate cystectomy (immediately after the diagnosis of NMIBC) is recommended. The 5-year disease-free survival after radical cystectomy in NMIBC patients is up to 80%. However, careful consideration of the risks and benefits of radical cystectomy is essential, because of the potential risk of complications and negative effects on the patient’s quality of life.
KeywordsRadical cystectomy Indication Early radical cystectomy Lymphovascular invasion Carcinoma in situ BCG failure
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