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The procedure combines a cystectomy and a urethrectomy.
Indications for urethrectomy in continuity with cystoprostatectomy are:
Monitor urethral cytology and delayed urethrectomy.
The benefits of urethrectomy at the time of cystectomy need to be weighed against the morbidity factors, which include added operating time, hemorrhage, and the potential for perineal hernia.
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