Bladder damage or bleeding from other conditions, treatments, or injuries
Complications occur in 25%-35% of patients undergoing cystectomy. If you are planning to have a cystectomy, your doctor will review a list of possible complications, which may include:
Loss of sexual function
Fluid build-up in the abdominal cavity
Damage to other organs
Blockage of urine flow from the ureters to the bladder
Nutritional problems (depending on the bowel segments used to create a way for urine to drain)
Reaction to anesthesia
Previous surgery in the abdomen or pelvis or radiation to the area increase your risk of complications.
What to Expect
Prior to Procedure
Doctors recommend that you quit smoking before surgery. You may also need to take antibiotics to prevent infection and laxatives to clean out the bowels.
The night before, you may be asked not to eat anything and only drink clear liquids. After midnight and on the morning of the procedure, do not eat or drink anything. This includes avoiding clear liquids, coffee, tea, and water.
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
An incision will be made in the abdomen to expose the bladder. All blood vessels to the bladder will be cut. The bladder will then be removed. Other tissues and organs may also need to be removed with the bladder.
The doctor will also need to create a new way for urine to be passed out of the body. A new bladder may be built using pieces of intestine, or an external bag may be attached to the abdomen.
Campbell M, Wein A, Kavoussi L. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: WB Saunders; 2007.
Maffezzini M, Campodonico F, Canepa G, Gerbi G, Parodi D. Current perioperative management of radical cystectomy with intestinal urinary reconstruction for muscle-invasive bladder cancer and reduction of the incidence of postoperative ileus. Surg Oncol. 2008;17(1):41-48.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a