Cystectomy (Cystectoty)

A cystectomy is a surgical procedure to remove the bladder. It may be necessary for various bladder diseases, such as cancer. After this operation, it is necessary to ensure subsequent urinary diversion. For this purpose, the ureters (the vessels that carry urine from the kidneys) can be reimplanted into the colon or an isolated segment of the colon, which is brought to the surface of the skin through a tube (ileal conduit), or a segment of the ileum can be used, which after reconstruction can serve as a reservoir of urine, and its emptying can be done using the abdominal muscles or intermittent self-catsterization (periodic emptying).

Cystectomy is the surgical removal of the bladder. It is used to treat certain bladder diseases such as cancer.

After cystectomy, it is necessary to ensure urinary diversion. In this case, the ureters (tubes that carry urine from the kidneys) are reimplanted into the intestines, usually the ileum. Urine is discharged to the surface of the body in the form of a tube called the ileal canal.

An alternative is to replace the bladder using a segment of ileum or colon that is formed into a pouch and sutured to the urinary canal. Evacuation occurs by tensing the abdominal muscles or periodic self-catheterization.

Cystectomy is a major operation that requires careful preparation and monitoring. However, when performed correctly and after recovery, it can significantly improve the patient's quality of life.

Cystectomy is the surgical removal of the bladder and its replacement by creating a reservoir from surrounding tissue. Most often, surgery is necessary for malignant tumors, but can also be performed for other pathologies of the bladder. This surgical procedure can be performed for both diagnostic and therapeutic purposes.

When performing a cystectomy, the method of transvaginal resection is used - sleeves of an artificial bladder made of synthetic or other materials are “sewn” into the incision. They are connected to each other and urine collects in them, after which it is discharged to the surface of the body. In this case, urine can be excreted naturally, which means that the functioning of the intestines remains free. The possibility of using a living intestinal segment to create an artificial urinary reservoir is also currently being considered. Cystoplasty also has wide possibilities for using alternative techniques depending on the individual needs of the patient. *Patients who are undergoing a cystectomy or ureterocutaneostomy should ensure that they understand all the risks and consequences associated with this procedure. It is important to ensure that they have enough time to make a decision, discuss their condition with their doctor and provide appropriate consent.