What Is Bladder Cancer?
Bladder cancer is an abnormal growth of cells within the bladder wall. It may present with:
- Blood in the urine (often painless)
- Increased frequency or difficulty urinating
- Burning sensation during urination
- Lower abdominal or pelvic pain in advanced stages
When Is Radical Cystectomy Recommended?
Radical cystectomy is advised in the following situations:
- Muscle-invasive bladder tumors (tumors that penetrate the bladder wall)
- Failure of conservative treatment or repeated endoscopic therapies
- High-grade or highly recurrent tumors
- Presence of complications that threaten the patient’s life
What Is Radical Cystectomy?
It is a major surgical procedure in which the entire bladder is removed along with surrounding tissues, including:
- In men: the bladder, prostate, and seminal vesicles
- In women: the bladder, uterus, and part of the vagina (depending on the case)
During the same operation, a new pathway for urine drainage is created using a segment of the intestine.
Surgical Approaches for Radical Cystectomy
The procedure can be performed using:
- Open surgery
- Laparoscopic (minimally invasive) surgery
- Robotic-assisted surgery (in specialized centers)
The most appropriate approach is chosen based on the patient’s condition and the surgical team’s expertise.
Urinary Diversion Options After Bladder Removal
- Permanent external urinary pouch (urostomy)
- Internal orthotopic neobladder in suitable cases
- Continent internal urinary diversion without an external bag
The choice depends on the patient’s health status and personal preference.
Advantages of Radical Cystectomy
✔ Best chance of cure in advanced cases
✔ Complete removal of the tumor with regional lymph nodes
✔ Reduced risk of cancer spread
✔ Improved long-term survival outcomes
What to Expect After Surgery
- Hospital stay for several days
- Close monitoring of kidney function and the gastrointestinal system
- Patient training on the new method of urination
- Regular oncological follow-up and periodic tests
Does the Surgery Affect Sexual Function?
Sexual function may be affected depending on the extent of tumor spread; however, modern nerve-sparing techniques can help preserve sexual function in selected cases.
Why Choose to Have the Procedure With Us?
- Extensive experience in advanced bladder cancer surgery
- Use of the latest surgical techniques
- Multidisciplinary team specialized in urinary diversion
- Comprehensive care before and after surgery
- Long-term follow-up to ensure optimal outcomes
Frequently Asked Questions (FAQ)
Is the surgery dangerous?
It is a major operation, but it is performed safely in specialized centers with proper patient preparation.
Can I live a normal life without a bladder?
Yes. With the appropriate urinary diversion, patients can lead a normal, active life.
How long is the recovery period?
Full recovery usually takes several weeks, depending on the patient’s general condition.
Is complete cure possible?
In suitable cases, radical cystectomy offers the best chance for complete cure.
