Radical Cystectomy
Procedure Overview
Radical cystectomy is the complete removal of the bladder — along with nearby lymph nodes and, when needed, surrounding organs — for muscle-invasive or high-risk bladder cancer. It requires creating a new way for urine to be stored or passed, discussed in detail with the patient beforehand.
Who Needs It
Recommended for patients with muscle-invasive bladder cancer or high-risk tumors that TURBT alone cannot adequately control.
Preparation
Preparation includes staging imaging, blood tests, and a detailed discussion of urinary diversion options before surgery.
Step-by-Step Procedure
Anesthesia
General anesthesia is administered.
15–20 minBladder Removal
The bladder is carefully removed.
120–180 minLymph Node Dissection
Nearby lymph nodes are removed and examined for staging.
30–45 minUrinary Diversion
A new pathway for urine — such as a reconstructed pouch or external diversion — is created.
90–120 minClosure
The surgical site is closed with drains placed as needed.
20 minBenefits
- ✓Definitive treatment for muscle-invasive bladder cancer
- ✓Allows thorough pathological staging
- ✓Robotic approach can reduce blood loss
Recovery Timeline
Hospital stay is typically 5–7 days, with a gradual return to normal activity over 6–8 weeks and an adjustment period to the new urinary diversion.
Technology Used
Robotic-Assisted Surgical System
