Even though radical cystectomy still remains the lsquo;gold standardrsquo; for the treatment of invasive bladder cancer, newer insights and developments are entering the urological arena: a lsquo;tailoredrsquo; surgical approach combining a less extensive procedure and a better quality of life seems feasible for selected patients without compromising the outcome; the type of urinary diversion has no impact on the risk of complications, the ability to receive postoperative salvage treatments and the natural history of the disease; the depth of extension of the tumour and the nodal involvement are the only independent lsquo;classicalrsquo; predictors of survival after radical cystectomy; pelvic node dissection is curative in patients with limited nodal involvement; the clinical application of newer molecular prognostic factors still remains controversial.
展开▼
