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Takenaka A.,Kobe University | Sakai I.,Kobe University | Terakawa T.,Kobe University | Furukawa J.,Kobe University | And 6 more authors.
Nishinihon Journal of Urology | Year: 2010

We retrospectively analyzed the outcomes of radical cystectomy for bladder cancer and the function of orthotopic neobladder in elderly patients aged 80 years or older. 72 patients underwent radical cystectomy in the elderly group. Early and late complication rates were 30.6% and 20.8%, respectively, and the perioperative mortality rate was 4.2%. The 5-year overall survival rate was 31.9%, which was lower than in the younger group, 63.8%. However, in the pT2 or less than pT2 group, the cancer-specific survival rate in the elderly group was similar to that in the younger group. Orthotopic neobladder function in 17 patients of the elderly group was evaluated functionally. Spontaneous voiding rate was 94%, and continence rate in daytime and nighttime was 75% and 37%, respectively. There was only a statistically significant difference in neobladder function between the elderly and the younger groups. Spontaneous voiding rate in a standing position was 38% and significantly lower than that in the younger group. In the selected elderly patients aged 80 years or older, radical cystectomy was a safe and effective treatment, and neobladder function was maintained.

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