cystectomy is surgery to remove part or all of the bladder. It is
mainly used to treat bladder cancer.
There are three types of surgery.
The surgery is done
through a cut (incision) the doctor makes in your lower belly. Sometimes it can
be done as laparoscopic surgery. This type of surgery needs only small cuts. To do it, a doctor puts
a lighted tube, or scope, and other tools through small cuts in your
lower belly. The doctor can see your organs with the scope.
If you have a simple cystectomy or radical cystectomy, your doctor will
create a new way for you to pass urine. There
are a few ways this can be done.
probably need 6 to 8 weeks to fully recover. If your surgery
was done to treat bladder cancer, you may need other treatments after that. This may include
chemotherapy or radiation therapy.
If just part of your
bladder was removed, you will probably be able to pass urine as you did before
the surgery. Your bladder may not hold as much urine for a while. You may need
to pass urine more often at first. But later your bladder should adjust so it can hold more
If all of your bladder was removed, you will need to learn
how to care for your ileal conduit or continent reservoir. A wound ostomy
continence nurse (WOCN) is trained to teach you how to
Bladder cancer surgery may affect sexual function. If a
woman's uterus and ovaries are removed during surgery, she will not be able
to get pregnant. And she may start menopause. She may have hot flashes and other
symptoms. And if a man's prostate gland and seminal vesicles are
removed, he may have problems getting erections. And he will not be able to make
a woman pregnant. If a man may want to father a child, he should talk to his doctor. It may be possible to save his sperm before the surgery.
You may feel sad or depressed. Or
you may worry about how your body will look after surgery. You may worry about
whether the surgery will affect your sex life. These concerns are
common. Call the Canadian Cancer Society (1-888-939-3333) or visit its
website at www.cancer.ca to learn more.
Follow-up care is a key part of your treatment and safety. Be
sure to make and go to all appointments, and call your doctor or nurse call line if you are having
problems. It's also a good idea to know your test results and keep a list of
the medicines you take.
Go to http://www.healthwise.net/ed
Enter W932 in the search box to learn more about "Learning About Cystectomy Surgery."
Current as of:
August 12, 2016
Adam Husney, MD - Family Medicine
& Christopher G. Wood, MD, FACS - Urology, Oncology
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