الفهرس 
BLADDER CANCEROnly 14 pages are availabe for public view
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Abstract
Background: In Egypt during the past 50 years, bladder cancer has been the most common cancer. Transitional cell carcinoma (TCC) replaced squamous cell carcinoma (SCC) as the more prevalent histopathological type with this declining rate suggesting possible changes in exposures related to bladder cancer induction, with reductions in schistosomal infection and increases in cigarette smoking and chemical exposures related to occupation.
Aim and objectives: The aim of this study was to compare between the standard preoperative bowel preparation (SP) and ERAS protocol in terms of postoperative length of stay (LOS) and postoperative morbidity.
Subjects and methods: This was a prospective randomized study was conducted in Ain shams university hospital – Alexandria university hospital involving fifty (50) patients were randomly divided into two equal groups twenty-Five (25) patient in group A follow ERAS protocol and twenty-Five (25) patients in group B following standard protocol. The duration of the study ranged from 6-12 months.
Results: There was no statistically significant difference found between group A and group B regarding the studied parameters (Transfusion unit, Analgesia, Readmission in 30 days, Early mobilization, Ileus, Vomiting, Urine leakage, UTI, Dehesince, DVT) while there was statistically significant difference between them regarding (Oral fluid from day 1, Chewing gum), there was no statistically significant difference found between group A and group B regarding (Length of stay).
Conclusion: In patients undergoing radical cystectomy, enhanced recovery protocol is considered as a safe procedure and not associated with any increase in intraoperative and postoperative complications compared to standard protocol. The length of hospital stay was similar in both.