Cystotomy (Cystotomy)

Cystotomy is a surgical procedure that involves making an incision in the wall of the bladder. It is usually performed through an incision in the abdominal wall above the pubic symphysis, and is known as a suprapubic cystotomy. The need for cystotomy arises in various cases, such as the removal of stones or tumors from the bladder, as well as to provide access to the prostate gland during transvesial prostatectomy.

Cystotomy surgery may be necessary if you have bladder stones that cannot be removed with medication or other methods. Cystotomy may also be necessary if a tumor is detected in the bladder that requires removal. In addition, surgery may be necessary to provide access to the prostate gland during transvesial prostatectomy surgery.

During a cystotomy, the patient is given anesthesia and an incision is made in the abdominal wall above the pubic symphysis to gain access to the bladder. The bladder wall is then cut and the stones or tumor removed. After this, a suture is placed on the wound, which is usually removed 7-10 days after surgery.

After cystotomy surgery, the patient may be prescribed antibiotics to prevent infection. You may also need to use a catheter to remove urine for the first few days after surgery. Patients usually recover quickly from cystotomy surgery, but complications such as bleeding, infection, or damage to other organs in the abdomen can sometimes occur.

Despite the risks associated with cystotomy surgery, it may be necessary to successfully treat some bladder conditions. If you have bladder problems, talk to your doctor to find out which treatments may be most effective for you.



A cystotomy is a surgical incision into the wall of the bladder. It is usually performed through an incision in the abdominal wall, above the pubic symphysis, called a suprapubic cystotomy.

The need for a cystotomy may arise during the removal of bladder stones or tumors or to provide access to the prostate gland during transvesial prostatectomy. Cystotomy may also be used to treat other bladder problems, such as bladder enlargement or infection.

During a cystotomy, the surgeon makes a small incision in the wall of the bladder through the abdominal wall. He then widens the incision to gain access to the bladder and its contents. During the operation, stones or tumors may be removed, and other diseases may be diagnosed and treated.

Once the surgery is complete, the incision is closed using sutures or other wound closure methods. After a cystotomy, the patient may experience some pain and discomfort for a few days, but this usually goes away within a few days.

Cystotomy is an important procedure that can help treat a variety of bladder and prostate conditions. However, like any other medical procedure, it may have some risks and complications, so you should discuss all possible risks and benefits with your doctor before undergoing it.



Cystotomy is a surgical technique used to access and treat various bladder conditions. This method is often used to remove stones, tumors and other pathologies in the bladder. To ensure the performance of surgical procedures, not only cystoscopy is used, but also cystography, chromocystoscopy and other additional diagnostic methods. Cystoscopic examination makes it possible to clarify the localization of the pathological process and determine its volume. The localization of stones at the mouth of the ureter is determined; if the cystourethrogram is unclear, the study area can be expanded by using a contrast agent. Most often, a cystoscope is used to examine the upper parts of the bladder or urethra, which have certain requirements: its length must be sufficient to insert the cystoscope to a great depth, the elasticity of the walls is sufficiently elastic, which avoids their swallowing and excessive deformation when inserting the tube. In case of narrowing of the bladder neck, it is possible to use cystoscopes with flexible conductors, fused in the area of ​​the internal iliac bone and extended above the bifurcation of the common iliac arteries.

With the help of hydrodiuresis, the necessary conditions are created for cystoscopy: blood diversion, maximum filling of the bladder pushes blood clots to the vascular pole. At the same time, the liquid dilutes the urine and increases the vacuum in the lumen of the bladder (