Radical cystectomy and bladder substitution.

The incidence of bladder cancer is rising. The main treatment for superficial bladder cancer is local resection and judicious use of intravesical agents. Radical cystectomy can cure organ-confined, invasive disease. The ileal conduit remains the gold standard following cystectomy. Newer methods of bladder substitution and nerve-sparing techniques have resulted in better tolerance of this treatment.