Cystectomy

Removal of a cyst. Excision of the cystic duct and the gallbladder. Excision of all or part of the urinary bladder.

A surgical operation to remove all or part of the urinary bladder.

Surgical removal of the bladder. Bladder cancer, which invades the muscular bladder wall, is the most common reason for cystectomy. In men, the prostate gland and seminal vesicles are also removed; in women, the urethra, uterus, cervix, and the front wall of the vagina are removed. Lymph nodes in the area are also removed and checked for cancer. To replace the role of the bladder in storing urine, a new reservoir is created surgically from a portion of the small or large intestine. Depending on the surgery, a person who has undergone radical cystectomy either must wear a urine collection bag at all times or can drain the internal reservoir periodically. In some cases, a section of intestine may be brought down to the urethra, allowing the patient to urinate normally. Radical cystectomy is an effective treatment for bladder cancer.

Surgical removal of the urinary bladder. This is necessary in the treatment of certain bladder conditions, notably cancer. The ureters draining the urine from the kidneys are reimplanted into the colon or into an isolated segment of intestine (usually the ileus), which is brought to the skin surface as a spout.

The surgical excision of the bladder. When this is done usually to treat cancer of the bladder an alternative means of collecting urine from the kidney’s must be arranged. The ureters of the kidney can be transplanted into a loop of bowel which is brought to the surface of the abdomen to form a stoma that exits into an externally worn pouch. The latest surgical technique is to fashion a substitute bladder from a section of intestine and to implant the ureters into it, thus allowing the patient to void urine through the urethra as normal.

The surgical procedure aimed at the partial or complete removal of the urinary bladder finds application in the treatment of bladder cancer. For this purpose, a radical cystectomy may be performed, entailing the total excision of the bladder. Subsequently, an alternate pathway for urine is created, typically culminating in a stoma situated in the lower abdomen. In male patients, this procedure involves the removal of the prostate gland and seminal vesicles, frequently resulting in impotence. In female patients, the uterus, ovaries, and fallopian tubes are also excised. Following a radical cystectomy, the individual is required to utilize an external pouch to collect urine, ensuring proper management of urinary function.