The procedure is performed under general anesthesia, and can take upto 3 to 4 hours.
For open surgery, the surgeon will make a long incision in the lower abdomen area to access the bladder and lymph nodes.
For laparoscopic surgery, several small incisions are made in the lower belly. A laparoscope containing camera is inserted from one of the cuts, and surgical tools are inserted from other incisions.
In partial cystectomy, the affected part of the bladder is removed and the incisions are sutured.
In case of Radical Cystectomy, the surgeon has to create a passage for the urine to pass out of the body. This can be done using
- Urinary Conduit: A part of small intestine is used to make an ileal conduit or a tube. Ureters that drain urine from kidney are attached to the abdominal wall using this tube. In the abdomen, an opening in the skin allows the patient to drain the urine.
- Continent Urinary Diversion: In this method, a small reservoir is created in the abdominal wall. The ileal conduit drain urine in this reservoid. Using a catheter, the urine is drained periodically.
- Neobladder: This technique is used only when the urethra is not removed. In this method, a part of the bowel is folded to make a pouch that carries the urine. This is attached to the ureters from the kidney. This procedure allows the patient to urinate in a normal way.