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A cystectomy is a surgery done to remove the urinary bladder. In men, removing the entire bladder (radical cystectomy) usually includes the removal of the prostate and seminal vesicles. In women, radical cystectomy involves the removal of the bladder, uterus, ovaries and part of the vagina.
After having your bladder removed, your surgeon will also create a urinary diversion, which is basically a new way to store urine and have it leave your body. There are multiple ways that urine can be stored and eliminated after bladder removal surgery. Your doctor will help you decide which method works best for you.
Cystectomy is often performed to treat invasive or recurrent non-invasive bladder cancer. Cystectomy may also be performed to treat other pelvic tumors and some noncancerous conditions such as interstitial cystitis or congenital abnormalities.Learn More
Your doctor may recommend cystectomy to treat:
The type of cystectomy and reconstruction you have depends on many factors, such as the reason for your surgery, your overall health and your preferences. Discuss your options with a surgeon to determine which cystectomy procedure is right for you.
Cystectomy is a complicated surgery, involving the manipulation of several internal organs in your abdomen. Due to this, the cystectomy procedure carries some possible risks, such as:
Since cystectomy is a surgery not just to remove the bladder but also to create a urinary diversion, the surgery can carry additional risks such as:
Some cystectomy complications may be life-threatening. Please ask your surgeon what additional risks there may be for your particular surgery.
Your surgeon may recommend one of these approaches for your cystectomy surgery:
Open surgery requires a single incision on your abdomen to access the pelvis and bladder.
Minimally invasive surgery involves several small incisions on your abdomen where special surgical tools are inserted to access the abdominal cavity.
During robotic surgery, your surgeon sits at a console and remotely operates the surgical tools.
You will be given medicine to keep you asleep during surgery. Once you're asleep, your surgeon will cut one larger incision for open surgery or several smaller incisions in your abdomen.
Your surgeon then removes your bladder along with the lymph nodes nearby. Other organs such as the urethra, prostate and seminal vesicles in men and the urethra, uterus, ovaries and part of the vagina in women, may also need to be removed.
Once your bladder is removed, your surgeon will work to reconstruct the urinary tract in order to allow urine to leave your body. Several options exist:
You may need to stay in the hospital for around five to six days after surgery. This time is required so that your body recovers from the cystectomy surgery. The intestines tend to be the last part to wake up after cystectomy surgery, so you may need to be in the hospital until your intestines are ready to absorb fluids and nutrients once again.
You may also have some pain or discomfort around your incision or incisions for a few weeks after cystectomy surgery. Your pain post-cystectomy should fade over time.
After cystectomy, you may experience some sexual changes:
Do you need help finding the best doctors for cystectomy in India? Please contact CureConsult for help in all your hospital needs.Learn Less
Top Hospitals for Radical Cystectomy