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Cystectomy

Surgery to remove the urinary bladder is called a cystectomy. Some benign disorders, such as interstitial cystitis or congenital anomalies, can be effectively treated with a cystectomy, including invasive and recurrent noninvasive bladder cancer, colon, prostate, and endometrial cancer.

The removal of the prostate and seminal vesicle is also part of a radical cystectomy in men, which removes the entire bladder. Instead, it involves the removal of parts of the uterus and/or the vagina in females.

A further urinary diversion will be created by your surgeon after the removal of your bladder. There are several ways to accomplish this. What method is best for you will be explained to you by the surgeon.

When should you get a Cystectomy done ?

If you have a benign tumour in the bladder or the surrounding area, the surgeon will prescribe a cystectomy. Urinary tract problems may be caused by a congenital, neurological, or inflammatory disorder.

What are the potential risks?

In order to limit the risk of bleeding, blood clots, heart attack, infection, and pneumonia, make an appointment with the best gynaecologist in Karachi before beginning the treatment.

Dehydration, urinary tract infections and changes in electrolytes can occur as a result of the surgical procedure to remove the cyst.

How to prepare for a cystectomy?

Prior to the procedure, your doctor will advise you on the medications you should be taking. To quicken your recovery, he’ll ask you to refrain from taking some drugs and ingesting certain substances.

What to expect?

Cystectomy involves the removal of the bladder and a portion of the urethra, as well as lymph nodes in the surrounding area. In order to carry out the procedure, the surgeon will use any of the following procedures:

  • Open surgery:

    As the name suggests, open surgery necessitates a single abdominal incision, which provides access to the bladder and pelvis

  • Minimally invasive surgery requires:
  1. Several small incisions on the abdomen are required for minimally invasive surgery in order to gain access to the abdominal cavity

  2. As a general anaesthetic is administered, the surgeon will make incisions in the abdomen, following any of the aforementioned methods.

  3. After that, the surgeon will remove the bladder and any nearby lymph nodes as well. In men, the urethra, prostate, and seminal vesicles may need to be removed, whereas in women, the urethra, uterus, ovaries, and a part of the vagina may need to be removed.

  4. The surgeon will rebuild the urinary tract after removing the bladder to allow urine to exit the body. There are a variety of ways to do this. There are three options available to the surgeon.

Ileal conduit.

Continent urinary reservoir.

Neobladder reconstruction.

Recovery

After surgery you will have to stay at least 6 days in the hospital to allow recovery.

It’s possible to have a sore throat, dry mouth, snoring, and tiredness after general anaesthesia. These side effects will subside over time.

After surgery, the surgeon will advise patients to walk to help with recovery and to minimise stiffness in the joints as well as to avoid blood clots.

For the first few weeks after surgery, you may notice some discomfort or tenderness around the incisions. However, this will fade over time.

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