For a review, researchers wanted to find ways to improve surgical, oncological, and functional outcomes in women who had bladder cancer and had a radical cystectomy. For well-selected women, orthotopic urinary diversion (ONB) is a safe approach that combines high rates of daytime and nightly continence with excellent oncologic outcomes. Even individuals with modest lymph node disease and trigone involvement are deemed safe if a preoperative bladder neck biopsy or an intraoperative frozen section study of the distal urethral border rule out malignant illness. Techniques that spare the nerves have been demonstrated to be effective. Internal genitalia preservation has been shown to be oncologically safe in well-selected patients with early invasive illnesses. Despite this, there are still no widely approved and evidence-based oncological and functional follow-up plans for women who have had a radical cystectomy.

In order to securely conclude about a wider usage of pelvic organ-sparing cystectomy, well-designed prospective trials with a sufficient number of participants are required.