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Partial and Radical Cystectomy are surgical interventions related to bladder cancer treatment.
Radical Cystectomy: This procedure helps treat cancer that has invaded muscle tissue of the bladder or non-invasive bladder cancer. The procedure entails removing the bladder entirely and also includes the removal of the prostate, seminal vesicles, uterus, ovaries, fallopian tubes, and parts of the vagina. If the bladder is removed entirely, a urinary diversion is created to store the urine in the body and allow it to leave the body.
Partial Cystectomy: In cases of isolated tumours that are away from the bladder opening, a part of the bladder is removed. The procedure is opted for in rare circumstances to treat benign tumours.
Consult our urologists if you need the Best Partial and radical cystectomy in Dhakuria
When you have bladder cancer that has spread into the bladder wall or has come back after initial treatment, your urologists may gently advise you to go in for its removal. Book an appointment
Cystectomies are mostly performed by surgeons to treat bladder cancer. On the other hand, they could also advise the surgery to address disorders that impact your urinary system or congenital illnesses, which are ailments that you are born with
When the following circumstances exist, a Radical Cystectomy is performed:
The tumour has grown into the bladder wall's muscle layer
Cancer has metastasised (spread to nearby lymph nodes in the pelvis)
High-grade bladder cancer, where the tumour has grown into nearby tissues or organs outside of the bladder
For specific types of bladder cancer, such as squamous cell carcinoma or adenocarcinoma of the bladder
A Segmental Cystectomy, also known as a Partial Cystectomy, removes just a portion of the bladder along with the tumour. Because the bladder is retained in situ, you can carry on urinating regularly. The procedure is known as Bladder-preserving Surgery. Bladder cancer patients do not often get Partial Cystectomies.
A Partial Cystectomy is advised if:
You have urachal carcinoma, a rare form of bladder cancer
You are suffering from bladder diverticulum (the tumour is located in an unusual bladder wall pocket)
Invasive bladder cancer only affects a single bladder region, and the surgeon may get precise surgical margins.
You will consult with a healthcare practitioner prior to a Cystectomy. They will take your vital signs (blood pressure, pulse, and temperature) and assess your general health. They will also discuss with you the surgical technique they plan to employ in order to remove your bladder.
Inform your doctor about all of the prescription and over-the-counter (OTC) drugs you use. You run a higher risk of bleeding if you use aspirin, blood thinners, anti-inflammatory medications, and some herbal supplements. Before quitting any drugs, make sure to consult your doctor.
Any allergies you may have should also be disclosed to your healthcare professional. These include drugs, foods, latex, and skin cleansers like iodine or isopropyl alcohol.
Cystectomy can be carried out using three different techniques:
Open Cystectomy: This means that in order to remove your bladder, the surgeon will create a single, lengthy incision in your abdomen.
Laparoscopic or Keyhole Surgery: Laparoscopic or Minimal Access Surgery are other names for Keyhole surgery. You have many minor incisions on your abdomen instead of just one huge one. People often heal more quickly after Keyhole surgery. The surgeon makes several tiny incisions in your belly. To do the procedure, they pass a laparoscope and tiny surgical tools through them. Similar to a small telescope, a laparoscope illuminates and enlarges the interior of your body. On a TV screen, your surgeon may view the pictures.
The following are some benefits of undergoing this kind of surgery:
Shorter hospital stays
Fewer painkillers are required
You require fewer blood transfusions since you lose less blood during the procedure
Robotic Surgery: In this case, the laparoscopic tools are controlled by a machine, or robot, on behalf of the surgeon during the procedure. This type of laparoscopic surgery is known as robotically assisted surgery. In the larger hospitals, this is increasingly how the Cystectomy procedure is performed.
A medical professional will suture and bind your incisions following a Cystectomy. Your body will no longer be administered anaesthesia by the anaesthesiologist. In a few minutes, you'll be conscious, or awake, although you'll probably still feel sleepy.
After that, you'll go to a recovery room. Medical professionals will monitor your general health as they wait for you to wake up completely. Your pain will be treated by providers after you've completely awakened. Painkillers and pain management strategies may be necessary.
After a Robotic or Laparoscopic Cystectomy, you will usually need to stay in the hospital for at least one day. Your hospital stay will be longer if you get an Open Cystectomy. Up to one week might be required for your stay in the hospital.
Throughout your hospital stay, medical professionals will keep an eye on your recuperation to make sure you're starting to heal and don't need any help managing your pain. They will also teach you how to connect, empty, and replace an ostomy bag if you require one.
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