Bladder cancer: results of radical cystectomy for invasive and recurrent superficial tumors.

The operative management of bladder carcinoma was reviewed retrospectively in 76 patients: 57 had muscle invasion and 19 had rapidly recurring or extensive superficial tumors requiring aggressive therapy. Of the patients 9 had been managed initially elsewhere with radiation treatment for cure and underwent salvage cystectomy at our institution. The results are discussed comparing patients receiving no radiation (11 of 20 alive) and 4,000 rad given preoperatively (11 of 20 alive), and patients with no muscle invasion but recurrent or extensive superficial tumors (14 of 19 alive).