<qa>  What is the primary reason for the efficacy of the study?Material and Methods The study is a randomised controlled trial. All patients 18 years referred to radical cystectomy will be eligible for this study. The efficacy is primary expressed by the difference in length of stayLOS. Secondly by complications, health related quality of lifeHRQoL and patient reported quality of care during hospitalization. The intervention includes precise instructions and educations in intensive pre- and postoperatively exercises and stoma-care, supported by the multiprofessional team. 