Radical cystectomy for bladder cancer was preformed in total of 68 consecutive patients (53 males and 15 females) at Binh Dan hospital from August 2001 to August 2003. Histopathological examination revealed that the tumor grade was 1 in 19 patients (2 with positive node), grade 2 in 20 patients (10 positive node) and grade 3 in 28 patients (15 positive node). The pathological stage was pT1 in 2 patients (no positive node), pT2 in 50 patients (17 positive node), pT3 in 15 patients (12 positive node) and pT4 in 1 patient (positive node). Among 68 patients underwent radical cystectomy, 35 patients had cultaneous ureterostomy, 26 patients had a Carmey II plasty with ileal-conduct uriary diversion, 5 patients with urinary diversion of Kock plasty and 2 patients had a Bricker operation