Surgical Procedures for Bladder Cancer
by Michael Jubinville, MPH
Surgery is mainly used to treat bladder cancer. The goal is to remove the cancer and save how the bladder works. The impact on how the bladder works depends on the stage of cancer and which surgery is needed.
Earlier Stages of Bladder Cancer
This type treats forms of bladder cancer that haven’t spread to deeper muscle. A transurethral resection (TUR) is done with a cystoscopy. A tube is passed through the urethra and into the bladder. The scope allows the doctor to see inside the bladder. Tools and lights can also be passed through the tube. Tumors are removed with a wire loop, chemicals, or by laser. Tissue samples are also taken so they can be looked at in a lab.
TUR can cure cancer in those with very early stage bladder cancer. Other treatments may still be needed.
It's common for bladder cancer to return, even after it's been treated. TUR may need to be repeated many times.
If the cancer has spread beyond bladder surface and into the muscle, a cystectomy may be needed. A cystectomy is the removal of part or all of the bladder. Early stage bladder cancer may only require a partial cystectomy. This leaves a smaller, but still working bladder.
Bladder tissue is removed through a cut in the belly. The doctor may also take out nearby lymph nodes to see if cancer has spread.
Later Stages of Bladder Cancer
A radical cystectomy involves removing all the bladder and nearby lymph nodes. In men, the prostate gland is removed. In women, the ovaries, fallopian tubes, uterus, and a small part of the vagina may be removed with the bladder. Cystectomy may offer a cure for some types of bladder cancer. But, some may need more treatment.
Since the bladder is removed, there is no way to store or pass urine from the body. A urinary diversion will allow the urine to leave the body. The types are:
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Bladder cancer surgery. American Cancer Society website. Available at: https://www.cancer.org/cancer/bladder-cancer/treating/surgery.html. Updated May 23, 2016. Accessed August 3, 2018.
Cystectomy. Encyclopedia of Surgery website. Available at:
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Accessed August 3, 2018.
Treatment option overview. National Cancer Institute website. Available at: https://www.cancer.gov/types/bladder/patient/bladder-treatment-pdq. Updated May 3, 2018. Accessed August 3, 2018.
Last reviewed May 2018 by EBSCO Medical Review Board Mohei Abouzied, MD, FACP
Last Updated: 8/3/2018
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