Partial Cystectomy

What is it?

 

Removal of part of the bladder wall through a cut in the lower abdomen.  A catheter (urine drainage tube) may be placed into the bladder or through the lower abdomen.

 

Before the cystoscopy

 

You will be told when to stop eating and drinking prior to the procedure.  You should discuss with Dr Bourne before the procedure if you have any allergies or any medication you are taking, particularly if Aspirin / Arthritis medication or Warfarin.

 

General Risks

  • Small areas of the lungs may collapse, increasing the risk of chest infection.  This may need antibiotics and physiotherapy.
  • Clots in the legs (deep vein thrombosis or DVT) with pain and swelling.  Rarely part of this clot may break off and go t the lungs which can be fatal.
  • A heart attack because of strain on the heart or a stroke.
  • Death is possible due to the procedure.  

Risks or this Procedure

  • The defect in the bladder may break down and leak urine.  This may require further surgery.
  • Heavy bleeding from the bladder.  This may require blood transfusion and further surgery.
  • Damage to the ureter – the tube coming from the kidney.  This may require further surgery.
  • The bowel movement may be paralysed or blocked after surgery and this may cause build-up of fluid in the bowel with bloating of the abdomen and vomiting.  Further treatment may be necessary for this.
  • A weakness in the abdominal wound with bursting of the wound in the short term or a rupture in the long term (hernia).  This may require further surgery.
  • Infections such as pus collections in the abdominal cavity.  This may need surgical drainage/infection in the wound.
  • Deep bleeding in the abdominal cavity and this may need fluid replacement or further surgery.
  • In some people healing of the wound may be abnormal and the wound can be thickened, red and the wound may be painful.
  • Adhesions (bands of scar tissue) may form and cause bowel obstruction.  This can be a short term and a long term complication, and may need further surgery.
  • Increased risk in obese people of wound infection, chest infection, heart and lung complications and thrombosis.
  • Increased risk in smokers of wound and chest infections, heart and lung complications and thrombosis.

Please notify us or present to the hospital if–

  • bleeding persists
  • high temperature develops
  • bladder irritation continues
  • severe abdominal pain

 

Stop the following TWO WEEKS prior to admission:-

 

  • Action
  • Aggrastat
  • Alka-Seltzer
  • Any Aspirins
  • Arixtra
  • Asasantin
  • Aspalgin
  • Aspirina
  • Aspro Clear
  • Aspro Tabs & Capsules
  • Astrix
  • Bayer Aspirin
  • Bex tablets & Powders
  • Cartia
  • Cardiprin
  • Codiphen Forte
  • Codis Morphalgin
  • Codral Forte
  • Codox
  • Decrin Powder
  • Disprin
  • Disprin Forte
  • Ecotrin
  • Iscover
  • Persantin
  • Plavix
  • Solcode
  • Solprin
  • Spren
  • Veganin
  • Vincents Tabs & Powders
  • Winsprin

 

Stop the following SEVEN DAYS prior to admission:-


Anti-inflammatory drugs:

 

  • Acliln
  • ACT-3
  • Actriprofen
  • Arthrexin
  • Brufen
  • Butazolidin
  • Celebrix
  • Clinoril
  • Clunisol
  • Declofenac
  • Diflunisal
  • Dolobid
  • Fledene
  • Feldene-D
  • Fenac
  • Ibuprofen
  • Indocid
  • Indomed
  • Indomethacin
  • Inza
  • Ketoprofen
  • Ketoralac
  • Mefenemix Acid
  • Mefic
  • Mobilis
  • Mobilis-D
  • Naprogesic
  • Naprosyn
  • Naproxen
  • Nurofen
  • Orudis
  • Oruvail
  • Phenylbutazone
  • Piroxicam
  • Ponstan
  • Proxen
  • Rafen
  • Sulindac
  • Surgam
  • Tenoxicam
  • Tiaprofenic Acid
  • Tilcotil
  • Toradol
  • Voltaren
  • Vioxx

 

ANTICOAGULANTS

 

If you are taking MAREVAN, DINDEVAN OR WARFARIN, TICLID, TICLOPIDINE, COUMADIN take half dose for ONE day, FIVE days before the operation, then stop the tablets FIVE days before the operation. Discuss this with your Physician, as some patient Need Heparin injections when they cease taking these tablets. The tablets should not be resumed until TWO weeks after the operation, unless otherwise advised by your Physician or Surgeon.

 

Panadol, Panadeine or Digesic may be taken for pain relief.

 

PLEASE ENSURE DOCTOR IS AWARE OF ALL DRUGS, PILLS, MEDICATIONS ON OR OFF PRESCRIPTION THAT YOU TAKE, EVEN IF THEY ARE NOT ON THE ABOVE LIST.