Medicosocial rehabilitation or patients with urinary bladder cancer after cystectomy

The results of the treatment of 251 patients after cystectomy with different methods of urine removal are analyzed, of these 171 patients after the operation of urinary bladder substitution by the isolated segment of intestine with the recovery of uresis by urethra. The recovery of uresis by urethra after cystectomy provides favourable physical, psychological and social conditions for patients, the possibility to resume their professional active life. A two-stage operation of the formation of urinary reservoir from the segment of intestine with the recovery of transurethral uresis is described. The main criteria of rehabilitation of patients with urinary bladder cancer after cystectomy must be taken as the recovery of natural uresis by urethra as well as the normalization of functional state of kidneys, upper and lower urinary tracts.