Micro-Abstract: Few data exist on stage migration in bladder cancer and trends in survival after radical cystectomy. We evaluated the changes in clinical, pathologic, and oncologic outcomes for patients treated with radical cystectomy for bladder cancer. In context, the body mass index and the presence of carcinoma in situ increased over the years and stage pT3-T4 bladder cancer disease decreased. An improvement in overall survival was reported for patients treated in recent years compared with historical controls. © 2016 Elsevier Inc.