Postoperative ileus following radical cystectomy in current urological practice: Incidence and risk factors

POI remains a notable complication after RC. Age, comorbidity burden, ASA class, history of COPD, and preoperative hemoglobin were identified as independent risk factors. These findings reinforce the multifactorial nature of POI and emphasize the need for early recognition of these factors for reducing POI following RC. Furthermore, this could also enable targeted preoperative optimization, such as anemia correction, pulmonary prehabilitation, and comprehensive perioperative planning for older patients and those with high ASA scores.