CYSTECTOMY FOR BLADDER CANCER
There are two types of cystectomies:
If cancer has invaded the muscle layer of the bladder wall, but is not large and is confined to one region of the bladder, then it may be possible to treat the cancer by removing only part of the bladder. With this procedure, the portion of the bladder where there is cancer is removed, and the hole in the bladder wall is then closed.
If cancer is larger in size or is in more than one region of the bladder, then the entire bladder may need to be removed. With a radical cystectomy, nearby lymph nodes may also be removed, along with the prostate (for men), and, for women, the ovaries, fallopian tubes, uterus and a small part of the vagina. This type of bladder cancer surgery is an extensive procedure, but may help ensure that all cancer cells are removed from the body and reduce the likelihood of the disease recurring. This procedure can be performed as an open or robotic procedure depending on the clinicians preference and experience.
A new conduit for your urine will be created from a segment of your intestine.
This usually drains into a stomal bag on your abdominal area. Less commonly a “neobladder” is created allowing you to urinate via your urethra