Cystectomy

Cystectomy: Complete removal of the bladder for medical well-being

Cystectomy, also known as bladder removal, is a surgical procedure performed to treat various bladder diseases, including bladder cancer. In this procedure, the bladder is completely removed and an alternative pathway is then created to drain urine from the body.

Cystectomy may be necessary in cases where bladder cancer has spread so much that removing the tumor alone is not a sufficient treatment. It may also be recommended if you have other bladder problems such as bladder enlargement, chronic cystitis or benign tumors.

There are several methods of cystectomy, including open surgery, laparoscopic cystectomy, and robot-assisted cystectomy. In open surgery, the bladder is removed through a small incision in the abdomen, while laparoscopic and robot-assisted cystectomies use instruments inserted through several small incisions.

After the bladder is removed, a new path must be created for urine to leave the body. This can be achieved using techniques such as an ileal conduit, where the end of the small intestine is used to create an opening (fistula) in the front wall of the abdomen, or an obstructed segment of intestine, which connects to the ureters to drain urine.

After a cystectomy, patients may need additional treatments (such as chemotherapy or radiation) to destroy remaining cancer cells or prevent them from recurring. Rehabilitation and adjustment to life without a bladder may require time and support, including learning new ways to control urination and using special bags or an ostomy to collect urine.

Cystectomy is a serious surgical procedure that has its own risks and limitations. Therefore, before deciding to have a cystectomy, patients should discuss all possible treatment options with their doctor to determine the course of action that is most appropriate for them.

In conclusion, cystectomy is an important surgical procedure that may be necessary to treat bladder cancer and other serious diseases. It requires careful planning and discussion with medical professionals. Although the procedure can be physically and emotionally difficult for the patient, modern medical approaches and rehabilitation techniques help patients adapt to new conditions and lead active and fulfilling lives even after bladder removal.