A Comparison of Early Results and Patient Satisfaction Rate between Modified Radical Cystectomy with Mainz II Urinary Diversion and Standard Radical Cystectomy with Continent Ileocecal Urinary Diversi

Background: this study compared the early success, complication and patientsatisfaction rates of modified extraperitoneal radical cystectomy (mainz ii urinary diversion)with standard intraperitoneal radical cystectomy (continent ileocecal urinary diversion) ina group of patients with muscle invasive urothelial carcinoma of the urinary bladder.methods: from september 2009 until november 2013, this randomized studyenrolled 60 patients with muscle invasive transitional cell carcinoma of the urinarybladder who underwent radical cystectomy and urinary diversion. the patients wererandomly allocated to two groups via block randomization. group a included 30patients (28 men and 2 women) who underwent modified small incision extraperitonealradical cystectomy with a mainz ii urinary diversion. group b included 30 patients(27 men and 3 women) who had classic intraperitoneal radical cystectomy and ileocecalcontinent diversion. the data were extracted and analyzed. the patients were followedfor one year after surgery.results: group a patients had a mean age of 61.47±8.63 years. group b patientshad a mean age of 60.77±6.82 years. there were no statistically significant differencesin blood loss, electrolyte and acid-base abnormalities, and early post- operativecomplication rates between the two groups. however, surgical and hospitalization timeswere significantly shorter in group a (p < 0.001). in addition, patients were mobilizedearlier and had shorter nothing by moth time. patient satisfaction rate was significantlymore in group a.conclusion: small incision extraperitoneal radical cystectomy and mainz ii urinarydiversion is a safe, less complicated, effective and more rapid technique with excellentshort term outcome. it seems this technique is a reliable alternative for continenturinary diversion in selected bladder cancer patients, mainly in those with urethralinvolvement.