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Radical Cystectomy

The gold-standard surgery in muscle-invasive bladder cancer.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Radical Cystectomy?

Radical cystectomy is the standard treatment for muscle-invasive bladder cancer. In men, the bladder, prostate, and seminal vesicles are removed; in women, the bladder, uterus, ovaries, and the anterior wall of the vagina are removed. Pelvic lymph node dissection accompanies the procedure.

Urinary diversion is required after the bladder is removed. The main options are an ileal conduit (most common), an orthotopic neobladder (artificial bladder), and a continent catheterizable pouch. Each method has its own advantages and disadvantages.

The operation can be performed open, laparoscopically, or robotically. Modern enhanced recovery after surgery (ERAS) protocols have reduced length of hospital stay and complications. Long-term follow-up evaluates oncologic and functional outcomes.

Symptoms

Muscle-invasive bladder cancer
High-risk superficial bladder cancer
BCG failure
Severe hematuria
Loss of bladder function
Severe pelvic pain
Locally advanced tumor

Risk Factors

Advanced age
Smoking
Comorbidities
Previous radiotherapy
Malnutrition
Cardiovascular disease
Pulmonary disease

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Diagnosis of muscle-invasive bladder cancer
  • High-risk superficial cancer
  • BCG failure
  • Treatment planning
  • Seeking a second opinion

Treatment Methods

01
Multidisciplinary evaluation
02
Neoadjuvant chemotherapy
03
Open/laparoscopic/robotic cystectomy
04
Pelvic lymph node dissection
05
Creation of urinary diversion
06
ERAS protocol
07
Long-term oncologic follow-up

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.