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Dr. Irsad Ali
Associate Consultant - Urology and Kidney Transplant
Urology, Kidney Transplant
Gender: Male
Dr. Brij Mohan Joshi
Associate Consultant - Urology & Robotic Surgery
Robotic Surgery, Urology
Gender: Male
Dr. Swapnil Singh Kushwaha
Associate Consultant Department of Urology, Uro-Oncology, Robotics and Renal Transplant
Urology, Uro-Oncology, Robotic Surgery, Kidney Transplant
Gender: Male
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Frequently Asked Questions
A cystectomy is a procedure involving the removal of all or part of the bladder. It is performed to treat bladder cancer or other conditions that affect the bladder.
A cystectomy is performed to treat bladder cancer that has not responded to other treatments or has recurred. It may also be done for non-cancerous conditions such as severe interstitial cystitis or bladder dysfunction.
Cystectomy may be necessary for bladder cancer, non-cancerous bladder conditions, neurogenic bladder, or when other treatments have been unsuccessful.
There are two primary types of cystectomy: partial cystectomy, which involves removing only a portion of the bladder, and radical cystectomy, which involves removing the entire bladder along with lymph nodes and surrounding structures.
Cystectomy is not always the first-line treatment option. For bladder cancer, other treatments such as chemotherapy, radiation therapy, or immunotherapy may be considered before cystectomy.
A cystectomy can be performed through open surgery, laparoscopic surgery, or robot-assisted surgery. The preferred approach depends on factors like the individual's health, the extent of the surgery needed, and the surgeon's expertise.
Common risks and complications of cystectomy include infection, bleeding, blood clots, urinary incontinence, urinary tract infection, bowel dysfunction, sexual dysfunction, and complications associated with anaesthesia.
Recovery time after a cystectomy varies depending on the individual and the type of surgery performed. It may take several weeks to several months to fully recover and regain normal activities.
In most cases, a urinary diversion is necessary after a radical cystectomy, as the bladder is removed. This involves creating a new way for urine to exit the body, such as an ileal conduit, continent reservoir, or neobladder.
Yes, cystectomy can be performed using minimally invasive techniques such as laparoscopy or robot-assisted surgery. These approaches offer benefits like less pain, smaller incisions, reduced blood loss, faster recovery, and shorter hospital stays.
Yes, robotic-assisted cystectomy is a minimally invasive approach utilising robotic technology to assist the surgeon during the procedure. It offers enhanced precision and visualisation, allowing for precise removal of the bladder.
There is no strict age limit for a cystectomy. The decision to undergo a cystectomy is based on an individual's overall health, the extent of the condition, and the benefits and risks of the surgery.
Cystectomy can be performed in individuals with other medical conditions, but the decision depends on the specific condition, its severity, and the individual's overall health. An evaluation by a doctor is necessary to assess the risks and benefits.
Cystectomy is generally not performed during pregnancy unless there is a life-threatening situation. The safety of the procedure and its potential impact on the pregnancy need to be carefully evaluated by a healthcare team.
A partial cystectomy involves removing only the part of the bladder containing the tumour while preserving the rest of the bladder. A radical cystectomy involves the complete removal of the bladder, nearby lymph nodes, and possibly other surrounding structures.
The need for additional treatment after a cystectomy depends on several factors, including the stage and grade of bladder cancer. Additional treatments may include chemotherapy, radiation therapy, or immunotherapy to target any remaining cancer cells.
After a radical cystectomy, a new way to eliminate urine will be created. Depending on the type of urinary diversion, urination may occur through a stoma (opening) in the abdomen, a continent reservoir, or a neobladder.
In men, a cystectomy does not directly affect fertility. However, in women, radical cystectomy involving the removal of the ovaries, uterus, and fallopian tubes can impact fertility. It is essential to discuss fertility preservation options with a doctor before the surgery.
Long-term effects of a cystectomy may include changes in urinary function, sexual function, and body image. Additionally, regular follow-up appointments and monitoring for potential recurrence are important for long-term management.
Cystectomy can affect sexual function, especially in men. Nerve damage or removal of reproductive organs during the surgery can lead to changes in sexual sensation, erectile dysfunction, or infertility. Rehabilitation and counselling may be helpful in managing these issues.
Cystectomy itself does not increase the risk of other health conditions. However, individuals who undergo a cystectomy may be at higher risk of developing certain complications, such as urinary tract infections, bowel dysfunction, or blood clots, which require appropriate management.
Yes, regular follow-up appointments are crucial after a cystectomy. These appointments allow doctors to monitor your recovery, address any concerns or complications, and conduct necessary tests or imaging to detect any signs of recurrence or other issues.
Previous abdominal surgery does not always preclude a cystectomy. The feasibility of the procedure depends on various factors, including the type of previous surgery, scar tissue formation, and the surgeon's expertise. A thorough evaluation is necessary to determine the suitability of a cystectomy.
Chemotherapy may be used before or after a cystectomy for bladder cancer treatment. Neoadjuvant chemotherapy is administered before surgery to shrink tumours and improve surgical outcomes, while adjuvant chemotherapy is given after surgery to target any remaining cancer cells.
Yes, cystectomy can be performed for non-cancerous conditions such as severe interstitial cystitis or bladder dysfunction that do not respond to other treatments. However, the decision to undergo a cystectomy is based on individual circumstances and thorough evaluation.
Cystectomy can be performed in individuals of advanced age, but the decision depends on overall health, functional status, and the individual's ability to tolerate the surgery. A comprehensive evaluation by a doctor and their team is necessary to determine the appropriateness of the procedure.
In cases where bladder cancer has spread to other organs, a cystectomy may still be considered, depending on the extent of the spread and the overall health of the individual. A multidisciplinary team of specialists will assess the feasibility and potential benefits of the surgery.
Yes, cystectomy may be performed for recurrent bladder cancer that has not responded to previous treatment options or has recurred after initial treatment. The decision depends on the individual's situation and is made in consultation with a healthcare team.
Cystectomy is not typically the first-line treatment for high-grade, non-invasive bladder cancer. Initial treatment often involves transurethral resection of the bladder tumour (TURBT) and intravesical therapy. However, in some cases where there is a high risk of progression or failure of conservative treatments, a cystectomy may be recommended.
Cystectomy is the primary treatment for muscle-invasive bladder cancer. It entails removing the bladder and surrounding tissues to achieve complete cancer removal. Additional treatments, such as chemotherapy, may be recommended before or after surgery to improve outcomes.
For advanced bladder cancer that has spread beyond the bladder, a cystectomy may still be considered in some cases, depending on the extent of the spread and the individual's overall health. The decision is made in collaboration with a multidisciplinary team of specialists.
Yes, a cystectomy can be performed laparoscopically. Laparoscopic cystectomy involves small incisions and using specialised instruments and a camera to remove the bladder. It offers benefits like lesser pain, shorter hospital stays, and faster recovery compared to open surgery.
Yes, robot-assisted cystectomy is a minimally invasive approach utilising robotic technology to assist the surgeon during the procedure. It offers enhanced precision, visualisation, and dexterity, allowing for a more precise and less invasive surgery.
Yes, a cystectomy is a major surgery that usually requires a hospital stay. The duration of the hospital stay depends on the type of cystectomy performed, individual recovery progress, and any potential complications.
The recovery process after a cystectomy can vary from person to person. It typically involves a period of healing, pain management, gradually resuming normal activities, and adjusting to any changes in urinary function. Physical therapy and follow-up appointments are usually part of the recovery process.
Reviewed by Dr Amit Goel, Director and Head of Unit - Renal Transplant & Uro-Oncology.