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Cystectomy (10 Clinics)

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Koç Healthcare Institutions
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Istanbul, Turkey
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Recommended For Cystectomy

Total or partial cystectomy may be required in many medical conditions, such as:
1) UPJ obstruction: Bladder and kidney connection broke down. Generally seen in youths.
2) Bladder cancer: Generally, bladder surgery performed due to bladder cancer. Its symptoms include hematuria (blood in urine union pain while urinating, and frequent urination.
3) Some neurological disorders like cyclothymia may cause partial bladder removal due to its effect on urination patterns. 

Not Recommended For Cystectomy

Not everyone who has bladder cancer is suitable to have cystectomy. If you noticed signs of bladder cancer, the first step is visiting a specialist who will diagnose if you are cancer or not.

Discharge From Hospital

Up to one week

Duration Of Operation

3-5 hours

Overview

Cystectomy is a medical operation that includes total or partial bladder removal, and in some cases, the operation includes the construction of a new bladder, neobladder. Cystectomy bladder surgery is performed for a solution to bladder problems like bladder cancer, UPJ obstruction (Ureteropelvic Junction Obstruction) just as to some neurological disorders.

Also, cystectomy procedure is made for ovarian cyst removal, but they don’t have much in common. In this article, we mention cystectomy as a bladder removal.

Preparation

If you have other medical problems, first you should inform your doctor. Then, a CT scan and different tests may require. Eating something before the operation is forbidden just as drinking anything hours before the operation. In some cases, mechanical bowel may be performed, but there are alternatives, and some doctors have doubts about this procedure has positive effects.

How It Is Performed

Cystectomy operation may be performed in two pays; partial or total bladder removal. In partial removal, doctors remove only scar tissue on the bladder and stitch up. In total bladder removal, the whole organ is removed. The second type of cystectomy generally performed if a patient has bladder cancer. During the operation, other organs and tissues may be removed with bladder as well. Cystectomy may be performed as open surgery through an incision on the abdomen. If partial bladder removal is performed, doctors may perform laparoscopic surgery, and it can be performed with a few small incisions. After the whole bladder removal, doctors have a few options to choose for the reorganization of a urinating system according to patient’s needs. A way to reorganize urinating system that becoming popular is called neobladder, a new bladder constituted from a piece of intestine. Another popular way is the ileal conduit or cystostomy. Patients can urinate with a created stoma and catheter. 

Recovery

The recovery period after cystectomy operation based on the type and extent of one’s bladder removal. Partial cystectomy’s healing process more rapid than radical cystectomy operation, due to chemotherapy and radiation therapy which needed after radical cystectomy. Generally, it takes to rest in the hospital for about a week. While you rest in hospital you’ll take strong painkillers and doctors will focus on your healing process. After this week, patients can leave the hospital. When you get into your normal function, doctors recommend you to walk and exercise, in case of neobladder creation, it will be more important to increase the time of urine kept in neobladder. The recovery process may take 6-8 weeks for the whole period of cystectomy.

Risks

Partial and radical cystectomy has some possible risks. Bladder removal may cause urine or stool leakages and kidney problems. Also, stoma problems may be seen by some patients after cystostomy. Nevertheless, these risks are uncommon.

Side Effects

Patients who undergo radical cystectomy which using neobladder or a bladder bag after cystostomy may experience some difficulties that will be pass in time, and it will become more and more acceptable. 

Success Rates

This operation’s success rate is based on the problem and the extent of bladder removal. The success rate depends on the stages and kinds of bladder cancer, changing from %50 to %90.

Faq

What is Cystectomy? 

Cystectomy is partial or radical, is performed for treatment of bladder cancer; also, it may be performed for other medical circumstances like UPJ.

When Partial, When Radical Cystectomy? 

While partial cystectomy is used for UPJ and bladder cancer treatment. Radical cystectomy is used for the upper level of bladder cancer.

What Is Better: Ileal Conduit or Neobladder? 

 

Neobladder creation preferred more and more in time then ileal conduit or cystostomy.

Back To Work

Usually between 2-6 weeks

Back To Sports

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

Extra Content

This content is written and reviewed by our medical content team in August, 2019.