Embedded Files
Total cystectomy refers to a surgical procedure aimed at removing the bladder. It can be done to treat any underlying condition, but it is cancer in most cases. After removing the bladder, the surgeon creates a new way to allow urine to leave the body. This pathway opens through a cut in the abdominal wall. This new pathway is also known as urinary diversion. The surgeon may want to create an internal reservoir that stores urine until the patient empties it manually. You may discuss these options with your doctor.
Changes to the body
Changes to the body
Total cystectomy results in some permanent changes to your body.
This surgery results in bladder removal. A radical cystectomy results in the removal of nearby nerves and organs. Your surgeon will conduct a radical cystectomy if cancer has spread in the nearby organs. Sometimes, the removal of those organs may affect sexual functions in men. It happens when the prostate or seminal vessels have to be removed. You may want to discuss everything with your doctor.
After surgery, you will no longer be able to evacuate urine from your urethra. It will leave through an opening (stoma) in the abdomen. This opening connects ureters to the outside of the body. This urinary diversion necessitates you to wear an ostomy bag the entire time. It also makes it crucial for you to take care of your stoma and the skin around it.
Preparing for surgery
Preparing for surgery
First, you will need to tell your doctor about the medication that you currently take. It also includes herbal medicines and supplements. Your doctor will analyze these medicines to determine whether or not they can cause problems for you during and after surgery.
You will need to avoid eating anything eight hours before surgery.
Your doctor may ask you to prepare your bowel before surgery. It includes restricting your diet for a couple of days before surgery. You may also have to take laxatives a day before surgery.
Surgery
Surgery
The surgeon will put an IV live into a vein in your arm or hand. This line will supply medications to your bloodstream.
You may also get medication to prevent the clotting of blood in your vessels.
The surgeon will administer general anesthesia to put you to sleep for the entire surgical procedure. He will insert a tube into your throat to help you breathe.
The surgery starts with the surgeon making an incision in the lower part of your abdomen.
During the procedure, he will remove the bladder. If it is a radical cystectomy, the surgeon will remove nearby nerves and organs to remove cancer completely.
He will remove a piece of your small or large intestine to make a conduit. He will connect ureters to one end of the conduit, while the other end will appear sticking out on the belly. This end of the conduit will form a stoma.
After completing the surgery, the surgeon will close incisions and put stitches.
Recovering in the hospital
Recovering in the hospital
You will need to stay in the hospital for a week or so. During this time, the surgical staff will monitor your recovery to make sure that you are doing well.
Page updated
Google Sites
Report abuse