Your risk of problems is higher if you have had surgery in the belly or pelvis or have had radiation therapy.
What to Expect
Prior to Procedure
You may need to take antibiotics to block infection. You may also need to take laxatives to empty your bowels.
The night before, you may be told not to eat and to only drink clear liquids. Your doctor may not want you to eat or drink after midnight or on the morning of the surgery. Make sure you know what to do.
Talk to your doctor about your medicines. You may be asked to stop taking some up to one week before surgery.
A cut will be made in the abdomen. It will let the doctor view the bladder. In a radical cystectomy, all blood vessels to the bladder will be cut. The bladder will be removed. The doctor may also remove nearby lymph nodes, part of the tube that carries urine from the bladder, and any nearby organs. In men, these organs are the prostate and glands that help make semen. . In women, they are the uterus, ovaries, and, vagina.
The doctor will also need to make a new way for urine to leave the body. A new bladder may be built. This can be done using pieces of intestine. Or, an external bag may be attached to the belly (
In a partial cystectomy, only part of the bladder will be removed.
Either procedure can be done by laparoscopic or robotic-assisted laparoscopic techniques using a number of smaller cuts and a camera.
Treating bladder cancer. Bladder Cancer Advocacy Network website. Available at: https://www.bcan.org/treatments/. Accessed July 30, 2018.
Aboumarzouk OM, Drewa T, Olejniczak P, Chlosta PL. Laparoscopic radical cystectomy: A 5-year review of a single institute's operative data and complications and a systematic review of the literature. Int Braz J Urol. 2012;38(3):330-340.
Liss MA, Kader AK. Robotic-assisted laparoscopic radical cystectomy: history, techniques and outcomes. World J Urol. 2013;31(3):489-497.
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.