Abstract

BACKGROUND:
The most effective treatment for muscle-invasive bladder cancer and non-muscle invasive bladder cancer with highest risk of progression, is Radical cystectomy and urinary diversion. This operation carries                  a high risk of complications of multiple types that can affect not only the urinary system but also other systems.
OBJECTIVE:
This study analyzes the early complications (within 30 days) of Radical
Cystectomy and urinary diversion, using a standardized classification system i.e. Clavien-Dindo classification system.
PATIENTS AND METHODS:
This is a combined retrospective and prospective study analyzing the early complications of RC.                    We review the early (30 days) post-operative period retrospectively for the previous cases and monitor this period, prospectively, for the coming cases at Al-Yarmook teaching hospital in Baghdad, Iraq from October 2017, to October 2019. We record the preoperative variables and postoperative complications              in a systematic method using Clavien-Dindo classification system and the relationship between them.
RESULTS:
Twenty three patients are included in the study with a mean age 65.1 year. Urinary diversion types are cutaneous ureterostomy (9 patients) ileal conduit (10 patients) and orthotopic bladder (4patients). Most of the postoperative complications are minor (CD grade I and II) (73.3%).
The predominant grade of complications are grade II (46.4%), while the least grades are grade IVb (3.5%) and grade V (3.5%).
CONCLUSION:
Radical cystectomy and urinary diversion for urinary bladder cancer carries a high risk of complications, but fortunately, most of these complications are minor and of low grade according to Clavien-Dindo classification system. Applying this classification system in the early complications of radical cystectomy allows rapid review of complications by researchers.