ABSTRACT

Introduction Radical cystectomy is a formidable surgical procedure. Moreover, many patients with invasive bladder cancer have significant comorbidity considering the median age at diagnosis and the strong association with a history of cigarette smoking. Optimal patient preparation and perioperative management are therefore essential in decreasing both the morbidity and mortality from this operation. This chapter defines some of the selection criteria, the preoperative evaluation, and the perioperative management of patients undergoing radical cystectomy.