Open radical cystectomy is a reliable surgery with acceptable complication rates in elderly male patients: a retrospective, tertiary hospital-based study

Objective: This study aims to evaluate safety of radical cystectomy (RS)+pelvic lymph node dissection (PLND)+ileal conduit urinary diversion (ICUD) in male patients aged >65?years versus ?65?years. Materials and Methods: Eighty-five male patients who underwent RS?+?PLND?+?ICUD for bladder cancer were retrospectively analyzed. The patients were divided into two groups according to age: ?65?years (Group 1, n?=?40) versus >65?years (Group 2, n?=?45). Data including baseline demographic and clinical characteristics of the patients, length of hospital stay, and complications within 90?days of surgery, and Grade???II and Grade???III complications according to the Clavien-Dindo (C-D) classification were recorded. Groups were compared in terms of demographic features and development of complications within 90?day after surgery statistically. Results: The median length of hospital stay was statistically significantly longer in Group 2 than Group 1 [10 (7?17) days vs. 9 (6?14) days, respectively; p?<?.05]. There was no statistically significant difference in the rehospitalization rate within 90?days of surgery between the groups (p?>?.05). Conclusion: Our study results suggest that RS?+?PLND?+?ICUD is a safe procedure in male patients aged ?65?years.