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Urinary bladder cancer is one of the most serious diseases of the urogenital system, and its treatment is dependent on the time of the diagnosis. pT1 and pT2 are the most suitable clinical and pathohistological stages for the successful surgical treatment of bladder cancer. Such cases are almost entirely treatable and result in the improvement of quality of life and longevity. For good out" comes, it is imperative that the disease be diagnosed as soon as possible, so that radical cystoprostatectomy and a orthotopic Hautmann neobladder reconstructions could be performed. An overall analysis of the cases was performed at the Urology Clinic of the University Clinical Center in Prishtina. All surgical cases of orthotopic Hautmann neobladder recon" structions were collected in a nonrandomized fashion. Furthermore, complete review of long"term effects, the overall state of all the surgical cases, as well as the survival outcomes of this patient cohort, was performed. The surgical treatment of bladder cancer patients with orthotopic Hautmann neobladder reconstruction at the Urology Clinic of the University Clinical Center in Prishtina first begun in 1990. The first patient was A.K. Born in 1926. Postoperatively, no surgical complications were noted, the patient lived in good health with a good quality of life. The patient expired in September of 2015 from old age. In the same year, 1990, another patient was treated with the same method, but unfortunately had expired within 24 hours of the surgery because of anesthesia complications. There was a 9"year hiatus because of the political situation of the ‘90s in Kosovo. The work resumed in 1999. 25 cases of radical cystoprostatectomy fol" lowed by orthotopic Hautmann neobladder reconstructions were performed until 2005. The postoperative state of these patients was closely followed. A complete analysis of the survival rates, especially of cases treated at stages pT1 and pT2, the successful post"op longevi" ty, as well as the longevity of the most challenging and advanced cases treated with this method, are presented. Overall, patients were mostly continent, and urinated regular" ly and spontaneously. Bladder cancer is a frequent urological disease with a diffi" cult prognosis, with the ability to quickly advance. This disease is more prevalent in males than in females, at a 3:1 ratio [1, 2]. According to Jewwitt’s data, the number of deaths resulting from the urinary bladder cancer is 3% of the overall cancers. The incidence in males is 6 to 40 cases in 100 000 people, whereas the incidence in females is 1 to 7 in 100 000 [2]. Unfortunately, the incidence of bladder cancer in Kosovo is unknown, because of lack of data and because there is still no national database of malignant diseases. But, based on the data available at the Urology Clinic of the University Clinical Center in Prishtina, it can be implied that the incidence of the urinary bladder cancer is rather high. The prognosis and the successful outcome of bladder can" cer depends on the time of discovery of the disease and its pathohistological stage. Therefore, the surgical prognosis, out" come, and longevity of patients undergoing the orthotopic Hautmann neobladder reconstruction depends on the clinical pathology stage of the disease as well as the time when the Long0term postoperative results of the hautmann ileal orthotopic neobladder reconstruction after radical cystoprostatectomy of bladder cancer

Long-term postoperative results of the hautmann ileal orthotopic neobladder reconstruction after radical cystoprostatectomy of bladder cancer