Cystectomy (Bladder Removal)
In cases of bladder cancer, either a part of the bladder or the entire bladder may need to be surgically removed. A segmented cystectomy or partial cystectomy involves removal of only the cancerous portion of the bladder. A partial cystectomy can be offered in very specific types of bladder cancer. Radical Cystectomy (removal of the entire bladder) remains the standard of care for invasive (deep and unresectable tumors) bladder cancer.
A radical cystectomy is the total removal of the bladder. In women, it also involves removal of the uterus, ovaries and a segment of the vagina.
After removal of the bladder, the surgeon will create a new pathway for urine drainage. There Are many options, however; the most common are generally described as follows:
1.Incontinent diversion……Urostomy or illeal conduit is a portion of intestine which drains the Urine into a bag attached to the body wall.
2.Continent urinary diversion……A continent ostomy which is catheterized to drain the urine. One of the more common is refered to as an Indiana Pouch.
3. Neo-bladder…..intestine is used to create a substitute bladder that is attached to the urethra And the patient passes urine through the urethra.