Radical cystectomy is the removal of the entire bladder with a safety margin.
In men, the prostate, seminal vesicles and part of the vas deferens are also removed. In women, the uterus, the cervix, parts of the vaginal tissue, the fallopian tubes and possibly even the ovaries are removed. In both sexes, a deep regional (pelvic) lymph node dissection is performed.
Reasons for radical cystectomy:
- Muscle-invasive bladder cancer without distant metastasis
- Recurring superficial, but aggressive bladder cancer Superficial carcinoma
- unmanageable via transurethral resection of the bladder) (TURB)
- To improve the quality of life (palliative cystectomy) in locally advanced bladder cancer in cases of pain and recurring bleeding and blockages
- Diminishing bladder capacity due to detrusor contraction caused by various reasons