Radical cystectomy
BLADDER CANCER SURGERY
The surgical removal of a cancerous bladder
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.
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.
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.
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.
Our Radical cystectomy locations
Mindelsohn Way B15 2FQ Birmingham
The Portland Hospital
205-209 Great Portland Street W1W 5AH London
The Christie Private Care
Wilmslow Road M20 4BX Manchester
The Wellington Hospital
8A Wellington Place NW8 9LE London
London Bridge Hospital
27 Tooley Street SE1 2PR London
The Princess Grace Hospital
42-52 Nottingham Place W1U 5NY London
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.