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Cystectomy

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Cystectomy is a medical procedure including total or partial bladder removal and sometimes the creation of its replacement such as a neobladder. Cystectomy bladder surgery is used as a remedy for a range of bladder problems such as bladder cancer, UPJ obstruction (Ureteropelvic Junction Obstruction) as well as it is a treatment for some neurological disorders.
The name cystectomy is used also for ovarian cyst removal; however, these two types of surgeries do not have much in common. In this article, we focus on cystectomy as a bladder removal.

Cystectomy Candidates

There are many medical conditions which may require partial or total cystectomy, including:
•UPJ obstruction – the connection between kidney and bladder becomes disrupted. This problem appears usually in younger patients.
•Bladder cancer – it is the most common reason for bladder surgery. Bladder cancer symptoms include hematuria (blood in urine), pain during urination and frequent urination.
•Some neurological problems such as cyclothymia may affect patient’s urination patterns and in the long run become a reason for partial bladder removal.

Am I Suitable for Cystectomy?

Not all the patients with bladder cancer are eligible to have cystectomy. The first step when you have bladder cancer signs is to visit a specialist, who will determine whether you indeed have cancer and if it is so – whether you should undergo this bladder surgery.

Preparing for Cystectomy

The first step is to inform your doctor about other medical conditions you suffer from and medicines you take. Then, a CT scan and other tests may be conducted. It is forbidden to eat anything since the night before cystectomy; several hours before bladder removal you shouldn’t also drink anything. Sometimes a mechanical bowel preparation is performed, although there are alternatives to it and some specialists doubt its positive effects on patients.

How is Cystectomy Performed?

Cystectomy may take two forms – partial or total bladder removal. In partial bladder removal, doctors remove just ailing part of one’s bladder and then sew its walls. In total bladder removal, the whole organ is removed. The second type, total or radical cystectomy is often performed as a bladder cancer treatment. During it, not only patient’s bladder but also other organs and tissues may be removed. Cystectomy may be performed as an open surgery through a cut in one’s abdomen or, in the case of partial bladder removal, as a laparoscopic surgery, where the whole procedure is performed through few small cuts with the use of laparoscope.
According to patient’s needs, after total bladder removal, doctors may choose between a few options regarding the reorganization of patient’s urination system. More and more popular becomes so-called neobladder, a new bladder created from a piece of intestine. Another popular method is ileal conduit or cystostomy, where a stoma is created and patient needs to urinate through it a few times a day with the help of a catheter.

Cystectomy Summary

Anesthesia

General anesthetic

Hospital Stay

Up to one week

Back to Sports

Up to the type of sport (2-6 weeks)

Duration of Operation

3-5 hours

Back to Work

Usually between 2-6 weeks

Cystectomy Recovery

Cystectomy recovery time depends on the type and scope of one’s bladder removal. Naturally, partial cystectomy recovery will be quicker than getting well after radical cystectomy especially that after this second treatment, the patient may undergo chemotherapy treatment and radiation therapy. Patients spend usually up to one week after cystectomy in the hospital. During this period they are given strong painkillers and the process of healing is closely monitored. Then, they are free to go home. In order to function normally after this bladder surgery, it is suggested to walk and perform a set of exercises, especially if a neobladder was created – exercises help to increase the amount of time one can keep urine in neobladder. The whole cystectomy recovery period is thought to last between 6-8 weeks.

Cystectomy Risks and Complications

Both partial and radical cystectomy carry some potential risks. After bladder removal, a patient may experience urine or stool leakages as well as kidney problems. Additionally, patients after cystostomy may experience problems with a stoma. However, all these occurrences are relatively rare.

Cystectomy Side Effects

For patients with radical cystectomy, getting used to neobladder or using a bladder bag after cystostomy poses some difficulties but as the time passes this new reality becomes more and more acceptable.

Cystectomy Success Rates

The cystectomy success rate depends on the disease and scope of bladder removal. As for bladder cancer, its stages and types are crucial to estimating the success rate, ranging from 50% to 90%.

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Acibadem Maslak Hospital

Istanbul, Turkey
7 reviews
JCI - Joint Commission International ISO 9001:2008 - International Organization for Standardization
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Florence Nightingale Istanbul

Istanbul, Turkey
6 reviews
JCI - Joint Commission International ISO 9001:2000 - International Organization for Standardization TÜV SÜD - Technical Control Unit
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Medical Park Antalya Hospital

Antalya, Turkey
10 reviews
JCI - Joint Commission International EMBT - European Group for Blood and Marrow Transplantation ISCT - International Society for Cellular Therapy
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Medipol Mega University Hospital

Istanbul, Turkey
7 reviews
JCI - Joint Commission International
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Medical Park Goztepe Hospital

Istanbul, Turkey
3 reviews
JCI - Joint Commission International EMBT - European Group for Blood and Marrow Transplantation ISCT - International Society for Cellular Therapy
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Medical Park Bahcelievler Hospital

Istanbul, Turkey
JCI - Joint Commission International EMBT - European Group for Blood and Marrow Transplantation ISCT - International Society for Cellular Therapy
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Kolan International Hospital

Istanbul, Turkey
3 reviews
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Medical Park Ankara Hospital

Ankara, Turkey
4 reviews
JCI - Joint Commission International EMBT - European Group for Blood and Marrow Transplantation ISCT - International Society for Cellular Therapy
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Ethica Incirli Hospital

Istanbul, Turkey
14 reviews
TTB - Turkish Medical Association
FROM€ 9,071
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Raffles Hospital Singapore

SINGAPORE, Singapore
JCI - Joint Commission International ISO 9001:2008 - International Organization for Standardization
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Indraprastha Apollo Hospital

New Delhi, India
1 review
JCI - Joint Commission International
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Average Ratings:  
55 reviews

Cystectomy Cost

Average Cystectomy costs are € 9,071, based on Cystectomy prices from 11 clinics.

Cystectomy prices vary greatly depending on the clinic and the location. For example, Cystectomy in Turkey is a popular option where Cystectomy costs as low as € 9,071.

Please note that the Cystectomy prices listed on FlyMedi are the average price for Cystectomy procedures. Clinics may ask you to provide them with specific information about your medical condition in order to provide you a detailed cost estimate for Cystectomy procedures. To receive a personalized Cystectomy quote, please click HERE.

Cystectomy FAQ

?
What is Cystectomy?

Cystectomy is a partial or radical bladder removal used as a bladder cancer treatment as well as a remedy for other medical conditions such as UPJ.

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When Partial, When Radical Cystectomy?

Partial cystectomy is usually used as a solution to UPJ as well as a bladder cancer-focused in one point of one’s bladder. Radical cystectomy is a solution used to fight with more wide-spread bladder cancer types.

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What Is Better: Ileal Conduit or Neobladder?

Ileal conduit or cystostomy is an older technique and as time passes, it is being gradually replaced by neobladder.