Objective      To evaluate the clinical efficiency of ostomy bag in the management of urine leakage in patients with bladder cancer after radical cystectomy.       Methods      From January 2003 to December 2010

483 patients with bladder cancer received radical cystectomy and then urinary diersion and reconstruction

and 97 from them were found with urinary extravasation. These patients were then randomly divided into group A (53 cases) and group B (44 cases) respectively. All patients of group A were treated by routine dressing changes. The leakages of group B were managed with ostomy bags. Perioperative quality of life was evaluated with EuroQoL Quality of Life Scale (EuroQol). The results and cost for urine leakage for both groups were compared.       Results      The average cost in management of perioperative urine leakage was significantly lower in group B than in group A. Patients in group B had an overall better perioperative life quality compared to group A. In particular

the score for pain/discomfort was significantly higher in group B than in group A.       Conclusion      The management of perioperative urine leakage with ostomy bags avoids constantly body wet

significantly increases the quality of life

and reduces the special costs of urine leakage in patients with bladder cancer after radical cystectomy.