Objectives: Radical cystectomy is the  standard treatment for invasive bladder tumor. However age factor is associated with higher morbidity and mortality. In this study, patients older than 70 years who underwent radical cystectomy were investigated; whether the age may increase the mortality and morbidity.

Material and methods: Between 1991-2007 total of 432 patients with invasive bladder tumor underwent radical cystectomy and lymph node dissection. Mean age of the patients was 60.62+8.87 year and %92.8 of the patients were males. The patients were divided into two groups; more than 70 and less than 70 year-old. All patients were suitable for anesthesia. The first group included 360 cases and the second included 67. The mean ages of the first and second group were 58.27+7.52 (range:34-69)and 73.22+3 (range:70-85) (years respectively. Mean follow up periods were 22.67+21.13 and 20.90+2.44 respectively. Kaplan-Meier and cox regression test were used for statistical evaluation.

Results: Perioperative mortality for the first and second group were %3.3 and %4.5 respectively(p=0.275). Perioperative complications in both groups were %16.9 and 13.3% respectively(p=0.573). There were no statistically differences between both groups in terms of stages, lymph node involvements  and grades(p=>0.05). Disease-specific free survival rates were 64.93+4.27 and 61.86+7.4 months respectively(p=0.975).Tumor stages and lymph node involvements were significant factors which effected the survival for both groups(p=0.000, p=0.000 respectively, regression test).

Conclusion: Radical cystectomy in elder patients with invasive bladder tumor is effective and safe type of therapy. We believe that, the age in suitable  patients is not contraindication for the application of radical surgery. 

Conference Title

20th Turkish National Urology Congress. Abstract book page 77. 1-6 November, Antalya/Turkey, 2008

Conference Country

Turkey

Conference Date

Jan. 1, 2008 - Jan. 1, 2008

Conference Sponsor

Turkish association of urology