Bladder Cystectomy. Prices, Reviews, Ratings
General information
This procedure involves the removal of the seminal vesicles in men along with the bladder and possible removal of the uterus and fallopian tubes in women.
Procedure procedures
Preparation
Before the operation, you must pass:
- bacteriological analysis of urine;
- biochemical blood test.
You must also have your blood tested for sugar and coagulation.
The patient must undergo an ultrasound of the urinary tract, X-ray, cystoscopy and biopsy. Immediately before the operation, you must shave the hair in the groin area.
The process of cystectomy
The operation is performed under general anesthesia. This operation is carried out in several stages:
- the patient is placed on his back;
- a longitudinal incision is made in the abdominal area;
- the bladder is disconnected from the abdominal wall and brought out;
- all blood vessels that supplied blood to the bladder are sutured;
- a clamp is applied to the proximal urethra;
- the bladder is removed along with the prostate and seminal vesicles;
- the pelvic lymph nodes are removed;
- an artificial urinary diversion is created.
After the operation is completed, a path for urine diversion is created. This can be done in three ways:
- creating an ideal conduit with the formation of a wet stoma;
- creating a reservoir for holding urine;
- creating an orthotopic artificial bladder or continuous bowel (this method of diversion makes it possible to control urination).
Rehabilitation period
The recovery period after surgery can last from a week to several weeks. During this period, the patient is constantly under the supervision of doctors. The patient is prescribed antibiotics and painkillers.
Indications
Cystectomy is performed in the case of:
- extensive damage to the mucous membrane of the bladder;
- bladder cancer;
- ineffectiveness of other treatment methods.
Contraindications
Cystectomy is not recommended in cases where:
- the patient is in a serious condition;
- poor blood clotting;
- the patient has other diseases that may cause complications as a result of the operation;
- the patient's weight exceeds 120 kg (in this case, the heart may not withstand anesthesia).
Complications
The following complications may occur after cystectomy:
- internal bleeding;
- complications associated with infection;
- formation of ureteral strictures.
Prices and clinics
Cystectomy is performed by a professional surgeon with experience in such operations. Many private and public clinics in the city have the necessary equipment for a successful cystectomy. On the website, from the list of clinics provided, you can choose the clinic you like and decide on the choice of specialist.
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