XXXX in the eighties: transurethral resection or cystectomy?

@entity1 @entity150 @entity5
PURPOSE: Describe morbidity and survival in @entity1 older than 80 years with muscle invasive @entity150 (MIBC) treated with radical cystectomy (RC) or transurethral resection (TUR) in our institution. MATERIALS AND METHODS: We reviewed our database of all @entity1 older than 80 years treated with RC and TUR for MIBC between 1993 and 2005 in our institution. Twenty-seven @entity1 were submitted to RC, with mean age of 82 years and mean follow-up of 16.4 months. RC was carried out following diagnosis of previous MIBC in 14 cases (51.9%). The American Society of Anesthesiology (ASA) score was III or IV in 23 @entity1 (85.1%). Seventy-two @entity1 with a mean age of 84 years and mean follow-up of 33 months, diagnosed with MIBC, were managed by means of TUR. The ASA score was III-IV in 64 (88.8%) @entity1 . RESULTS: Pathological stage of the RC specimen was pT3 in 18 cases (66.7%). Mean hospital stay was 16 days. Early complications were assessed in 8 @entity1 (29.6%), with an overall survival (OS) of 42.94%, and @entity5 ( @entity5 ) of 60.54%. In @entity1 submitted to TUR, clinical stage was T2 in 36 cases (50%). The mean hospital stay was 7 days, with a readmission rate (RR) of 87.5%. OS and @entity5 was less than 20%. CONCLUSIONS: RC in octogenarian @entity1 is a safe procedure, with complication and survival rates comparable to RC series in general population. Transurethral resection (TUR) for @entity1 with MIBC within this age range is a much less morbid procedure, but disease specific survival is lower.
