What is Urinary Bladder Cancer Surgery?
Urinary bladder cancer is a condition in which abnormal cells grow uncontrollably in the lining of the bladder. When diagnosed with bladder cancer, surgery is often a primary treatment option. The specific surgical procedure chosen depends on factors such as the stage of cancer, the size and location of the tumor, and the patient’s overall health.
Types of Urinary Bladder cancer surgery:-
1) Transurethral Resection of Bladder Tumor (TURBT): Transurethral Resection of Bladder Tumor is a minimally invasive surgical procedure often used for early-stage bladder cancer or for diagnostic purposes. During TURBT, a thin, flexible instrument called a cystoscope is inserted through the urethra into the bladder. The surgeon uses the cystoscope to visualize the tumor and remove it using a special tool. This procedure is usually performed under general or spinal anesthesia and allows for biopsy and staging of the tumor.
2) Radical Cystectomy: Radical cystectomy is a major surgical procedure where the entire bladder is removed. It is typically reserved for cases of invasive bladder cancer or when other treatment options have not been successful. In men, this surgery involves the removal of the bladder, prostate, and seminal vesicles. In women, the bladder, uterus, fallopian tubes, ovaries, and part of the vagina may also need to be removed. In both genders, nearby lymph nodes may also be removed to check for cancer spread. After a radical cystectomy, patients need an alternative way to store and pass urine, such as an ileal conduit or a neobladder.
- Ileal Conduit: An ileal conduit is a common method of urinary diversion after a radical cystectomy. In this procedure, a small segment of the small intestine (ileum) is removed and used to create a tube-like conduit. One end of the conduit is connected to the ureters, and the other end is brought out through a small opening in the abdominal wall (stoma). A urostomy bag is attached to the stoma to collect urine continuously. The patient will need to wear the urostomy bag at all times to manage urine drainage.
- Neobladder Reconstruction: For some patients, a neobladder reconstruction may be considered after a radical cystectomy. In this procedure, a portion of the intestine is reshaped to form a new bladder-like pouch. This reconstructed neobladder is then connected to the urethra, allowing for more natural voiding of urine. After the healing process, patients can typically urinate without the need for an external bag. However, it is important to note that neobladder patients may need to retrain their bladder, and some may still experience some degree of incontinence.
3) Partial Cystectomy: Partial cystectomy involves the removal of only a portion of the bladder, rather than the entire organ. This procedure is typically reserved for patients with a single tumor located in a specific area of the bladder. It aims to preserve as much healthy bladder tissue as possible. Partial cystectomy is usually followed by other treatments such as radiation or chemotherapy to ensure any remaining cancer cells are eliminated.
4)Robotic or Laparoscopic Surgery: In recent years, robotic or laparoscopic approaches have become increasingly popular for bladder cancer surgery. These minimally invasive techniques use small incisions and specialized instruments controlled by the surgeon to remove the bladder or perform other procedures. Robotic surgery allows for improved precision and maneuverability, resulting in smaller scars, reduced blood loss, and faster recovery times compared to open surgery.
In conclusion, urinary bladder cancer surgery is a vital component in the management of this disease. The choice of surgical procedure depends on the stage of cancer, tumor characteristics, and the patient’s overall health. From minimally invasive transurethral resection to more extensive radical cystectomy with urinary diversion, each approach has its advantages and considerations. The surgical team, along with the patient, will carefully evaluate the best option to ensure the optimal outcome and quality of life for the individual undergoing bladder cancer surgery. It is important for patients to discuss their concerns, expectations, and potential side effects with their healthcare providers to make informed decisions about their treatment journey.
Urinary Bladder Cancer Surgery Hospitals:
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Our Centre's for Urinary Bladder Cancer Surgery
One can visit any of our branches nearby to your location for the best overall healthcare treatment for Urinary Bladder Cancer Surgery. Our experts not only provide superior quality care using the latest technologies but also provide complete treatment along with rehabilitation facilities and post-operative care