What are the most common complications to radical cystectomy for bladder cancer?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Radical cystectomy has a 2-3% perioperative mortality rate. However, the 6-month mortality may be as high as 7-8% in elderly patients. The two most common late complications are small-bowel obstruction and ureteroenteric stricture (see Table 3 below).

Table 3. Most Common Complications of Radical Cystectomy (Open Table in a new window)

Early Complications

Rate, %

Late Complications

Rate, %

Ileus

10

Small-bowel obstruction

7.4

Wound infection

5.5

Ureteroenteric stricture

7.0

Sepsis

4.9

Renal calculi

3.9

Pelvic abscess

4.7

Acute pyelonephritis

3.1

Hemorrhage

3.4

Parastomal hernia

2.8

Wound dehiscence

3.3

Stomal stenosis

2.8

Bowel obstruction

3.0

Incisional hernia

2.2

Enterocutaneous fistula

2.2

Fistula

1.3

Rectal injury

2.2

Rectal complications

< 1


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