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We have considered the aspects and the differences of quality of life and erectile function of 32 consecutive patients underwent to surgical operation of radical cistectomy and urinary diversion (11 patients with ileoureteralcutanous sec. Bricker and 21 patients with orthotopic neobladder). Medical Outcomes Study - Short Form - SF36 TEST and International Index of Erectile Function - IIEF-5, TEST have been administered to the patients, to know the Quality of Life assessment and the erectile dysfunction. The evaluation and analysis of the answers show no statistical significant differences between the two groups of patients about quality of life and sexual aspects.