1 The fourth step Intravesical 1% formalin or open cystotomy temporary urinary diversion and bladder packing with gauze or percutaneous embolization of both vesical arteries.

2 A suprapubic transurethral cystotomy apparatus and method of forming a surgical opening therewith.

3 Post operative care is as per cystotomy with pain relief, antibiotics and prescription diet etc.

4 Conclusions The modified ureteroneocystomy has the advantages of easy operation, safety, reliability and less complications which is no need of cystotomy and stent.

5 Objective To evaluate the clinical efficacy of arterial chemotherapy and partial cystotomy for treatment of bladder carcinoma.

6 The fourth step was intravesical 1% formalin or open cystotomy. Temporary urinary diversion and bladder packing with gauze or percutaneous embolization of both vesical arteries were adopted.

7 The left 3 cases were cured by intervention, bladder perfusion and open cystotomy, respectively.