Preoperative sarcopenia linked to worse survival after radical cystectomy

Retrospective · Clin Genitourin Cancer · 2026-11-07. Number 5 in the UrologyWatch Top 5 for November 9, 2026.

In a single-center cohort of 320 patients, CT-defined sarcopenia (present in 50%) was independently associated with worse overall survival after radical cystectomy (HR 1.52), though not with major complications or ICU use.

Why it matters: Raises the question of whether CT-based muscle mass assessment could help risk-stratify cystectomy candidates, but is hypothesis generating from a single-center retrospective cohort.

Limitation: Single-center retrospective design; association attenuated with alternative muscle mass cutoffs, suggesting sensitivity to definition.

Source: Clin Genitourin Cancer · PubMed 42995123 · DOI 10.1016/j.clgc.2026.102695

The full November 9, 2026 edition · Today's urology news

Loading today's edition…