(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
- Non-steroidal anti-inflammatory drugs, such as ibuprofen
- Blood thinners
- Anti-platelet medication
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.
- 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.
- Difficult physical activity should be avoided for 4-6 weeks.
- Avoid heavy lifting, straining, and sexual activity until your doctor tells you it is okay.
- Driving and climbing stairs is usually allowed. Ask your doctor about any restrictions.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor's instructions.
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
- Nausea and/or vomiting
- Pain that you cannot control with the medicines you have been given
- Inability to urinate or difficulty urinating, extreme cloudiness or pus in the urine, a bad odor to the urine
- Cough, shortness of breath, or chest pain
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.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
Bladder cancer facts. AP John Institute for Cancer Research website. Available at: http://www.apjohncancerinstitute.org/cancer/bladder.htm. Accessed July 17, 2013.
Cystectomy information binder. Johns Hopkins Medicine website. Available at: http://urology.jhu.edu/bladder/Cystectomy.pdf. Accessed July 17, 2013.
Maffezzini M, Campodonico F, et al. 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: Adrienne Carmack, MD; Michael Woods, MD
- Review Date: 07/2013 -
- Update Date: 05/11/2013 -