Generally, there are no specific contraindications to having a cystectomy. The procedure combines a cystectomy and a prostatectomy. There are several prognostic factors which determine cancer specific survival after radical cystectomy. Management plan including partial cystectomy should be accompanied with neoadjuvant chemotherapy. Survival after radical cystectomy and pelvic lymph node dissection is dependent on the pathological stage. A bilateral pelvic lymphadenectomy should accompany radical cystectomy. However, this may eventually need hysterectomy and/or partial cystectomy. When determining the type of cystectomy to be performed many factors are taken into consideration. Around 25-30% fail treatment and undergo salvage radical cystectomy. Radical cystectomy has a significant morbidity associated with it. After radical cystectomy, urinary and sexual function remain inferior to the general population.