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Partial and Radical Cystectomy in Bhubaneswar

Partial and Radical Cystectomy

Partial and Radical Cystectomy in Bhubaneswar

A Partial Cystectomy entails the removal of a section of the bladder. This is commonly used to treat locally advanced bladder cancer. The goal of this surgery is to remove the cancerous tissue without compromising bladder function. Once the tumour is removed and the lymph nodes are inspected, the bladder that remains is reconstructed. Partial Cystectomies maintain bladder integrity as opposed to Radical Cystectomies, which remove the bladder entirely. This method of managing bladder problems reduces the effect on urinary function.

A Radical Cystectomy is a surgical procedure used to treat bladder cancer that has not spread to other parts of the body. The surgical process involves removing the bladder and the tissue around it, including the pelvic lymph nodes, and rerouting the urine from the ureters into a different receptacle. The primary aim of bladder cancer treatments is to prevent the need for a lengthy procedure, but in cases where it is required, partial and radical cystectomy in Bhubaneswar can be a lifesaving measure. 

Manipal Hospitals, Bhubaneswar, has a skilled team of urologists providing comprehensive care and effective treatment for all types of bladder issues, including cancer. 

 

FAQ's

This procedure could be performed for:

  • Non-muscle-invasive bladder cancer: This type of cancer only affects the lining of the bladder or the connective tissue underneath it.
  • Muscle-invasive bladder cancer: This type of cancer has spread to the bladder's deeper (muscle) layer or beyond.

You may need a Cystectomy if you have non-muscle-invasive bladder cancer, particularly if:

  • There is a high likelihood that the cancer will recur or spread despite treatment with BCG.
  • You have had an inadequate response to Immunotherapy administered directly into your bladder.
     

In place of a Radical Cystectomy, there are other options. Among them are:

  • A Partial Cystectomy, in which the bladder is excised partially
  • Radiation Therapy
  • Chemotherapy
  • A combination of Chemotherapy and Radiation treatment
  • Use Immunotherapy or Targeted Therapy to target cancer cells specifically
  • Preservation of the bladder
     

While performing the Partial Cystectomy, your healthcare provider may follow the following steps: 

  • A lower abdominal incision is made during a Cystectomy
  • Neighbouring lymph nodes might be extracted and examined for cancerous cells
  • A margin of good tissue and the malignant portion of the bladder are removed
  • Stitches are used to seal the bladder
  • Using stitches or staples, the incision is sealed
  • It's possible to put a drainage tube in the abdomen
  • Similar to a Foley catheter, a suprapubic catheter can be inserted into the bladder through a small incision to help with urine outflow

The removal of lymph nodes during a Cystectomy helps to determine whether the cancer has spread outside of the bladder, which helps with cancer staging and treatment planning. By determining the amount of illness dissemination, lymph node examinations aid in the decision-making process regarding additional treatments like Radiation or Chemotherapy. Additionally, it offers insightful predictive data that influences treatment method selection and patient outcomes. 
 

Pain control following a Cystectomy is crucial. Initially, a patient-controlled analgesia (PCA) pump is used to provide painkillers intravenously. This allows you to self-administer doses of the medication within safe boundaries. As an alternative, an electronic pump-attached drip is used to numb the operative area with epidurals. Additionally, during surgery, surgeons may wrap tubes around the area to relieve pain afterwards. If you are experiencing discomfort, inform your doctor. They will adjust your medication and provide you with pain relievers to take home after your visit.
 

There are numerous potential hazards associated with the procedure, such as: 

  • Severe bleeding that necessitates a blood transfusion
  • If constructing a neobladder is not possible, using an ileal conduit may become necessary.
  • Occasional harm to the rectum or other internal structures

Risks following operation:

  • Recurring occurrences of infections in the urinary tract, blockage of the intestines, respiratory infections, and leakage of urine.
  • Infrequently occurring: intestinal obstruction, lymph collection, haemorrhage, abscesses, and blood clots.
  • Death: Extremely uncommon.

Long-term hazards: 

  • Common: Kidney problems, erectile dysfunction, infertility, and cancer recurrence
  • Rarely: Problems related to the neobladder, adhesions, hernia development, and lymphoedema
  • Particular to Ileal Conduit: Conduit problems and hernias
  • Particular to Neobladder: Stricture, diarrhoea, rupture, vitamin insufficiency, incontinence, and acid imbalance

Resuming everyday activities and making modest adjustments are part of life after a Cystectomy. The following advice can help you manage your ostomy bag, which is commonly used after a Cystectomy to collect waste: 

  • To keep the bag flat, empty it before it's halfway filled.
  • Use a washcloth, warm water, and light soap to clean the skin surrounding the stoma.
  • To avoid leaks, replace the pouch first thing in the morning before drinking anything.
  • After emptying the bag, use ostomy deodorant to minimise odours.
  • When changing bags, use ostomy powder to reduce skin sensitivity.
  • It's up to you whether or not to disclose your ostomy to other people, but think about it.
  • For advice on how to talk to people about your surgery and ostomy, speak with your healthcare practitioner
     

If you are unable to urinate on your own, a suprapubic catheter (SPC) can be inserted into your bladder to drain urine. Unlike a traditional catheter, which is inserted through the urethra, the SPC is placed directly into the bladder, just above the pubic bone, a few inches below the navel. This eliminates the need for a tube to pass through the genital area for urine drainage. SPCs are often more comfortable than traditional catheters because they do not pass through the delicate tissue of the urethra. If your doctor determines that a traditional catheter is not suitable for you, they may opt for an SPC instead.
 

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