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Partial and radical cystectomy in Kolkata

Partial and radical cystectomy

Partial and radical cystectomy in Kolkata

Partial Cystectomy

The procedure involves the removal of a portion of the affected bladder. It is an uncommon procedure for treating bladder cancer. However, adenocarcinoma of the bladder, a rare cancer type, is often treated with this procedure. After the procedure, the patient can urinate normally. However, they may have to pass urine more frequently due to their small bladder size.

Radical Cystectomy

Patients suffering from bladder cancer may need to undergo Radical Cystectomy procedures. It is a major surgical procedure that involves the removal of the whole bladder and the nearby lymph nodes. After the removal of the bladder, a urinary diversion is created to facilitate the passage of urine out of the body.

In men, the Radical Cystectomy procedure involves the removal of the prostate gland and seminal vesicles along with the bladder. However, for women undergoing Radical Cystectomy procedures, their womb and fallopian tubes may be removed. Radical Cystectomy procedures are preferred when cancer invades the muscle wall.

Consult our urologists if you need partial and radical cystectomy in Kolkata.

Urologists may gently advise you to go in for Partial and radical cystectomy when you have bladder cancer that has spread into the bladder wall or has come back after initial treatment.

FAQ's

Cystectomy procedures involve partial or complete removal of the urinary bladder along with surrounding structures. The procedures can be performed as an open or minimally invasive procedure.
 

Cystectomy is recommended for the following conditions:

Cancer

  • Bladder cancer involves the muscle but remains confined to the organ

  • Pelvic cancers, which include colon, prostate, and endometrium, where there might be bladder involvement

   Non-cancerous
    

  • Developmental abnormalities of the bladder

  • Local endometriosis of the bladder

  • Bladder diverticula

Cystectomy is a major surgical procedure. Radical Cystectomy involves the removal of the whole bladder.
 

It is possible to live without a bladder. However, after Radical Cystectomy, reservoirs are created to hold the urine the kidneys produce.
 

Before the procedure, the doctor may order blood tests and a few physical exams. Necessary treatment outlines are planned and discussed with the patient before the surgery.
 

Cystectomy procedures are performed with two approaches, including:

  • Open Cystectomy: A long vertical surgical incision of six to seven inches is made between the belly button and pubic bone. The bladder is surgically removed through the incision.

  • Minimally Invasive Cystectomy: The surgeon inflates the abdomen with carbon dioxide to create a working space. Five to six small incisions are made to insert long, thin instruments along with a camera into the body cavity. 

The surgeon will remove the entire bladder, part of the ureters, and the lymph nodes that surround the bladder during the Radical Cystectomy procedure. The lymph nodes removed may be sent for laboratory analysis.
 

The treatment time depends on the complexity of the procedure. It may take approximately six hours.
 

After undergoing a Cystectomy procedure, the patient may have to stay in the hospital for a week. The pain present during this time is managed with painkillers. The patient can expect full recovery within six to eight weeks. Patients who underwent Radical Cystectomy may further need Chemotherapy or Radiotherapy.

An individual who has undergone a Radical Cystectomy procedure may experience bleeding, kidney issues, infection, and complications from the urinary diversion. Other complications include blood clots in the legs or lungs, heart attack and stroke, lung infection, and bowel problems. Some of the complications are dangerous and may require subsequent surgery.
 

After removing the bladder, the surgeon creates a urinary diversion. The commonly performed procedures include:

  • Urostomy or ileal conduit: This is a common way to collect urine. The surgeon creates a stoma outside the body for the urine to pass. A bag is placed to collect the urine.

  • Continent urinary diversion: The surgeon creates an internal pouch using a section of the bowel. The pouch helps store the urine. A stoma is created on the abdomen for the urine to pass outside the body. This allows the patient to control when the urine is passed. Therefore, there is no necessity to use a bag to collect urine. However, the procedure is performed rarely.

  • Neobladder: A section of the bowel is used to create a new bladder. Therefore, the patient can pass urine through the urethra as before. This is a less commonly performed procedure and takes a longer duration of time.

  • Rectosigmoid pouch: The procedure involves using a rectum to create a pouch that collects the urine. After the procedure, the urine is passed along with the stools through the rectum. It is a highly uncommon procedure.

Maintaining a balanced diet is crucial after the procedure. Patients must ensure they consume sufficient amounts of proteins and calories to support their weight while avoiding spicy, greasy, and high-fibre foods to minimise bloating. Consider limiting fluid intake during meals to prevent an overly full sensation. During the recovery phase, it is essential to be well-hydrated to prevent urinary tract infections. 
 

Home Broadway Specialities Urology Partial-and-radical-cystectomy

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