DOI: https://doi.org/10.36347/sajb.2025.v13i05.008

Pages: 553-555

Radical cystoprostatectomy (CPT) is a major surgical procedure that remains associated with high morbidity and prolonged hospitalization. This retrospective study was conducted over a 2-year period, from July 2019 to July 2021, in the anesthesia and urology departments, and included 30 patients undergoing CPT. The aim was to analyze patient profiles, describe perioperative anesthetic management, and evaluate perioperative and postoperative morbidity and mortality. The mean age was 63.3 years, with smoking being the main risk factor. Macroscopic hematuria was the predominant symptom (93.3%), and all patients had an ASA score ≤3. Preoperatively, 10 patients required transfusion, and two patients with chronic kidney disease underwent hemodialysis the day before surgery. Urinary diversion was performed in 76.7% of cases, enterocystoplasty in 16.7%, and cutaneous ureterostomy in 6.7%. The mean operative time was 254.47 minutes, with an average blood loss of 500 cc and a 20% intraoperative transfusion rate. No intraoperative deaths occurred. Postoperative care was managed by intensive care and urology teams. Early complications occurred in 36.7% of patients, and late complications in 20%, with three reported deaths. The average ICU stay was 2.5 days, and the mean total hospital stay was 15 days. CPT remains a complex surgical procedure, particularly challenging in the management of frail patients with multiple comorbidities.