(Radical Bladder Removal, Partial Bladder Removal)
- A radical cystectomy removes all of the bladder, nearby lymph nodes, part of the urethra, and nearby organs that may contain cancer cells.
- A partial cystectomy removes part of the bladder.
Reasons for Procedure
- Loss of sexual function
- Fluid build-up in the abdominal cavity
- Damage to other organs
- Blockage of urine flow from the ureters to the bladder
- Nutrition problems, depending on the bowel segments used to create a way for urine to drain
- Blood clots
- Reaction to anesthesia
- Urinary incontinence
What to Expect
Prior to Procedure
Description of Procedure
|Kidneys, Ureters, and Bladder|
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How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- A stay in the intensive care unit may be needed.
- Be encouraged to walk with assistance soon after surgery
- During surgery, a tube will be placed from the nose to the stomach. It will stay there for several days. Because you cannot eat with the tube in place, you will receive IV fluids.
- If a urine bag was attached during the surgery, you will be taught how to dispose of urine.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- Caring for your surgical wound and monitoring for signs of infection
- Exercises to strengthen your pelvic floor
- Physical therapy or rehabilitation
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, heavy bleeding, or discharge from the incision and/or stoma site
- Persistent nausea and/or vomiting
- Pain that you cannot control with the medications you were given
- Inability to urinate or difficulty urinating, extreme cloudiness or pus in the urine, a bad odor to the urine
National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov
Urology Care Foundation http://www.urologyhealth.org
Canadian Urological Association http://www.cua.org
Public Health Agency of Canada http://www.phac-aspc.gc.ca
Aboumarzouk OM, Drewa T, Olejniczak P, Chlosta PL. Laparoscopic radical cystectomy: A 5-year review of a single institute's operative data and complications and a systematic review of the literature. Int Braz J Urol. 2012;38(3):330-340.
Bladder cancer facts. AP John Institute for Cancer Research website. Available at: https://www.apjohncancerinstitute.org/cancer-types/bladder-cancer?page=cancer/bladder.htm. Accessed May 29, 2014.
Cystectomy information binder. Johns Hopkins Medicine website. Available at: http://urology.jhu.edu/bladder/Cystectomy.pdf. Accessed May 29, 2014.
Liss MA, Kader AK. Robotic-assisted laparoscopic radical cystectomy: history, techniques and outcomes. World J Urol. 2013;31(3):489-497.
Maffezzini M, Campodonico F, Canepa G, Gerbi G, Parodi D. Current perioperative management of radical cystectomy with intestinal urinary reconstruction for muscle-invasive bladder cancer and reduction of the incidence of postoperative ileus. Surg Oncol. 2008;17(1):41-48.
- Reviewer: Michael Woods, MD
- Review Date: 06/2015 -
- Update Date: 05/29/2014 -