Radical cystectomy

BLADDER CANCER SURGERY


The surgical removal of a cancerous bladder

Enquiries & Appointments

What is a radical cystectomy?

A radical cystectomy is a surgical procedure to remove the bladder. There are two types of radical cystectomy: open (making a large cut) or laparoscopic (making key-hole size cuts).

You may need to have a cystectomy for a number of reasons, including:

  • if you're experiencing uncontrollable bleeding
  • have high-grade bladder cancer
  • if your bladder has been damaged by cytotoxic treatment.

Having a cystectomy will change the way you pass urine.

Need to know

In an open radical cystectomy, your consultant surgeon will make a large incision(approximately 15-18 inches long) to remove your entire bladder. In a laparoscopic radical cystectomy, your bladder will be removed using a laparoscope (keyhole camera) as a guide to make several small incisions instead of a big one.

Both procedures are carried out under a general anaesthetic. During the surgery, your consultant will create a new way for you to pass urine. This could be a urinary diversion (attaching a stoma bag outside of your skin) or a neobladder replacement. A nurse will show you how to look after the bag.
You'll be asked to arrive at the hospital either on the day or morning before your operation. You won't be able to eat food six hours before your operation. You can drink clear, still water up to three hours before your surgery.

Your consultant will explain what else to expect prior to the surgery. They will also explain what will happen during the surgery and outline any possible risks and side effects.
After your open or laparoscopic radical cystectomy, you'll be transferred to our intensive care unit for a recovery period of 24 to 48 hours. Once stable, you'll be taken to the main hospital.

Your consultant or nurse will let you know when you can leave the hospital and if you should arrange for someone to take you home.

Radical cystectomy Consultants

Mr Nicholas Faure Walker

Mr Nicholas Faure Walker

Urology

Mr Tamer El-Husseiny

Mr Tamer El-Husseiny

Urology

Mr Matthew Bultitude

Mr Matthew Bultitude

Urology

Mr Maneesh Ghei

Mr Maneesh Ghei

Urology

Our locations

The Portland Hospital

The Portland Hospital

205-209 Great Portland Street W1W 5AH London
The Princess Grace Hospital

The Princess Grace Hospital

42-52 Nottingham Place W1U 5NY London
The Shard Outpatients

The Shard Outpatients

The Shard, 32 St Thomas Street SE1 9BS London

Patient stories

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.