Part I: Checklist: What to do and not to do Part II: Checklist: What to do if... Part III: Specific anesthesia during cystectomy to improve postoperative outcome -- Why to attempt a nerve-sparing cystectomy?- Seminal vesicle sparing cystectomy-what can be expected?- The role of pelvic lymph node dissection and its extent in patients with orthotopic bladder substitute -- Physical and physiological considerations for reservoir construction -- Bowel segments in the urinary tract - metabolic consequences -- Preservation of renal function -- Quality of life with orthotopic bladder substitution.