Due to the high mortality and morbidity this technique was modified over the years, and it was described a Posterior Pelvic Exenteration (resection of rectum, uterus and posterior vaginal wall), Anterior Pelvic Exenteration
(resection of bladder and uterus) and Supralevator Pelvic Exenteration (resection of pelvic organs at the level of levator muscle preserving the urogenital diaphragm) .
Davis et al described a patient with disease metastatic to regional lymph nodes who was without evidence of disease 10 months after neoadjuvant platinum-5-FU and radiotherapy, anterior pelvic exenteration
, and adjuvant paclitaxel and carboplatin (10).
A total of 23 patients underwent radical cystoprostatectomy, and 14 underwent anterior pelvic exenteration