Narayana Health Care
  • Cardiology
  • Gastroenterology
  • Nephrology
  • Neurology
  • Oncology
  • Book An Appointment
    • Video Consultation
    • Physical Consultation
  • English
    • Hindi
    • Bengali
Narayana Health Care
  • Cardiology
  • Gastroenterology
  • Nephrology
  • Neurology
  • Oncology
  • Book An Appointment
    • Video Consultation
    • Physical Consultation
  • English
    • Hindi
    • Bengali
Home > Blog > Urology > Removal of Urinary Bladder in cases of Cancer
Urology

Removal of Urinary Bladder in cases of Cancer

by Narayana Health May 18, 2020
written by Narayana Health May 18, 2020
Removal of Urinary Bladder in cases of Cancer | Narayana Health

Urinary bladder may be involved with cancer. Surgical removal of total/part of the urinary bladder is the first line of treatment for localized cancers involving urinary bladder following complete resection of the tumor transurethrally. Cystectomy is warranted in case the tumor has gone deep and penetrated the detrusor muscle layer of the bladder.

The surgery may be a Partial Cystectomy in which only part of urinary bladder along with the tumor is removed preserving the rest of the bladder or Radical Cystectomy in which entire urinary bladder is removed. Partial Cystectomy has a limited indication for a well-localized tumor situated at the fundus of the urinary bladder (that is the roof of the bladder). Most of the other patients with the organ-confined disease need radical cystectomy. However radical cystectomy may be offered for a metastatic disease which has refractory bleeding in urine or in advanced disease setting after completion of neoadjuvant chemotherapy.

Radical cystectomy also involves simultaneous removal of the prostate, seminal vesicles, and vas deferens in males and uterus with fallopian tubes in females. Since the function of the urinary bladder is the storage of urine, hence the surgery also involves the creation of a neobladder by using a portion of the small intestine or making a stoma that is joining both the ureters to a small segment of the small intestine (Ileal Conduit) and bringing this segment out on the abdominal wall. This segment is connected to a small plastic bag which is to be emptied periodically by the patient once it gets filled with urine.

Reconstruction with Neobladder

Reconstruction with Orthotropic Neobladder

Neobladder made from a segment of the small intestine. Patient passes urine from the urethra as before

Reconstruction with Ileal Conduit and Stoma

 

Reconstruction with Ileal Conduit and Stoma

Segment/Conduit of Small Intestine (Ileum) used to join both the ureters

A plastic appliance is worn over the abdomen that collects urine and needs to be emptied periodically

This surgery can be done open, laparoscopically, or robotically. The patient may choose any of the above depending on the finances available although not much difference exists in the oncological outcome with any of the techniques mentioned. The patient may need chemotherapy after the surgery depending on the final biopsy/histopathology report.

The patient usually needs to stay in the hospital for 7 to 10 days after the operation. Since this surgery is a major one special emphasis is made on the preoperative fitness of the patient including cardiological aspects. In the postoperative period, special care needs to be given to ambulation of patient, limb physiotherapy and deep breathing exercises to prevent lung complications and protein-rich nutrition once the patient starts accepting orally. The patient is taught the proper use of stoma appliance by stoma therapist to prevent any apparatus related malfunction. Initially, there might be some leakage from the bag and some fitting related issues but gradually the patient gets used to it.

Dr. Mayank Gupta, Director & Senior consultant – Urology & Uro-oncology, Dharamshila Narayana Superspeciality Hospital, Delhi

bladderbladder cancerBladder Cancer SurgeryBladder Cancer treatmentcancerchemotherapyUrinaryUrinary bladder
0 comment
0
FacebookTwitterPinterestWhatsapp
previous post
Cervical Degenerative Spine
next post
Alcoholic Liver Disease

You may also like

Angiomyolipoma Kidney – Causes, Symptoms and Treatment Options

November 28, 2023

Epithelial Cells in Urine: Causes, Symptoms, and Treatment...

October 16, 2023

Phimosis : Causes, Symptoms, Diagnosis & Treatment Options

October 16, 2023

Paraphimosis: Causes, Symptoms, Diagnosis and Treatment Options

October 16, 2023

Epispadias: Causes, Symptoms, Diagnosis and Treatment Options

October 16, 2023

Priapism: Causes, Symptoms, Diagnosis and Treatment Options

October 16, 2023

Hypospadias : Symptoms, Diagnosis and Treatment Options

October 16, 2023

Robotic Prostate Surgery: Advancing Precision Care

September 20, 2023

Preventing Urinary Tract Infections: Essential Hygiene Practices

September 15, 2023

Ejaculatory Duct Obstruction – Causes, Symptoms, and Treatment...

September 15, 2023

QUICK LINKS

Book an Appointment

Find a Doctor

Hospitals

Medical Services

About NH

Narayana Health

Narayana Health is headquartered in Bengaluru, India, and operates a network of hospitals across the country, with a particularly strong presence in the southern state of Karnataka and eastern India, as well as an emerging presence in northern, western and central India. Our first facility was established in Bengaluru with approximately 225 operational beds and we have since grown to 23 hospitals, 7 heart centres, 19 primary care facilities across India and an international hospital in the Cayman Islands.

Keep In Touch

Facebook Twitter Instagram Linkedin Youtube Telegram

Popular Posts

  • 1

    Boosting your Immune System against Coronavirus: How to minimize the risk of...

    April 2, 2020
  • 2

    How to maintain a Balanced Diet

    September 3, 2019
  • 3

    Coronavirus Testing – How to Test for Coronavirus? – Different Types of Tests

    March 13, 2020
  • 4

    Importance of Balanced Diet in a Healthy Lifestyle

    November 22, 2019

Categories

  • Aids (5)
  • Bengali (1)
  • Blood Pressure (4)
  • Bone Marrow Transplant (12)
  • Breast Cancer (28)
  • Cancer (48)
  • Cardiac Surgery (23)
  • Cardiology (249)
  • Coronavirus (110)
  • Dental Sciences (2)
  • Dermatology (19)
  • Diabetes (37)
  • E. N. T – Paediatric (7)
  • E. N. T. (9)
  • ECMO (1)
  • Endocrinology (16)
  • Gastroenterology (126)
  • General Health (143)
  • General Surgery (4)
  • Gynaecology (94)
  • Haematology (14)
  • Health Nuggets (44)
  • Healthy Life (4)
  • Hepatology (16)
  • Hindi (7)
  • Infectious Diseases (4)
  • Kidney (5)
  • Liver (30)
  • Medical Oncology (2)
  • Mental Health (4)
  • Narayana Health (856)
  • Nephrology (105)
  • Neurology (177)
  • Neurosurgery (30)
  • News (6)
  • NH services (7)
  • Nutrition and Diet (27)
  • Oncology (168)
  • Organ Donation (1)
  • Orthopaedics (165)
  • Paediatric Cardiology (12)
  • Paediatric Liver Transplant (1)
  • Paediatric Oncology (3)
  • Paediatric Surgery (7)
  • Paediatrics (78)
  • Pain & Palliative Care (4)
  • Pregnancy (9)
  • Psychology (5)
  • Pulmonology (47)
  • Radiation Oncology (9)
  • Rheumatology (4)
  • Services (3)
  • Spine Surgery (31)
  • Stroke (7)
  • Swine Flu (1)
  • Transplant (1)
  • Urology (54)
  • Vascular Surgery (11)

Follow us

QUICK LINKS

Find a Doctor

Book an Appointment

Make an Enquiry

Feedback

Hospitals

Blogs

Privilege card

Heart Rhythm Disorder

NH CARES

Hernia

Lung Cancer

Brain Tumour

Liver Cancer

Heart Attack

Urinary Problems

Heart Transplant

Kidney Transplant

Bone Marrow Transplant

Pulmonary Hypertension

CENTRES OF EXCELLENCE

Liver Transplant & HPB Surgery

Cardiology

Cardiac Surgery

Neurology

Neurosurgery

Orthopaedics

Robotic Surgery

Vascular Surgery

Nephrology

Radiation Oncology

MEDICAL PROFESSIONALS

Academics

Clinical Research

NH Colleges

SUBSCRIBE TO OUR NEWSLETTER

Subscribe to our Newsletter for new blog posts, tips & new photos. Let's stay updated!

About Narayana Health

|

Stakeholder Relations

|

News & Media Relations

|

Awards and Accreditations

|

Leadership

|

Careers

|

CSR

|

Sitemap

© Narayana Hrudayalaya Ltd | All rights reserved
NPPA Implant Pricing     Terms & Conditions     Privacy Policy     Disclaimer

Book Online Consultation