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Summary— Analysis of 86 patients who underwent salvage cystectomy following a radical course of radiotherapy for bladder cancer and 37 patients who underwent primary cystectomy has shown a greater survival for women than men.

The following factors were associated with a significant deterioration in survival:

1. Age at time of cystectomy: post-operative mortality and tumour recurrence are greater over the age of 70.

2. Non-function of one kidney on IVU.

3. Grade 3 tumour on cystectomy specimen.

4. pT3 or pT4 tumour on cystectomy specimen.