ABSTRACT Objective To validate the pentafecta criteria proposed by the PROMETRICS group for outcome reporting after radical cystectomy in an open radical cystectomy cohort with long-term follow-up. To assess the discriminative ability of pentafecta criteria attainment for oncological endpoints. Patients and methods Between 01/2009 and 12/2017, 420 patients underwent open radical cystectomy with pelvic lymph node dissection and urinary diversion for non-metastatic bladder cancer.