First Time User? Sign Up Now
First Time User? Enroll now.
Home > Fitness & Health > Health Library > Cystectomy for Bladder Cancer
Cystectomy is the surgical removal of all or part of the bladder. It is used to treat bladder cancer that has spread into the bladder wall or to treat cancer that has come back (recurred) following initial treatment.
The surgery is done through a cut (incision) the doctor makes in your lower belly. Sometimes it can be done as laparoscopic surgery. Some people call this "Band-Aid surgery," because it requires only small cuts. To do this type of surgery, a doctor puts a lighted tube, or scope, and other surgical tools through small cuts in your lower belly. The doctor is able to see your organs with the scope.
If you have a cystectomy, your doctor will create a new way to pass urine from your body. There are several ways this can be done.
Cystectomy usually requires a hospital stay of about a week. You can expect some discomfort during the first few days after surgery. This discomfort is usually controllable with home treatment and medicine. Complete recovery usually takes 6 to 8 weeks.
More treatment may be needed following a radical cystectomy and may include radiation therapy or chemotherapy. Immunotherapy may be used after a partial cystectomy for early-stage tumors.
After initial treatment for bladder cancer, it is important to receive follow-up care. Your doctor will set up a regular schedule of checkups and tests.
Cystectomy is used to remove and attempt to cure cancer that has invaded the wall of the bladder or has come back (recurred) following initial treatment or has a high chance of spreading.
For bladder cancer that has spread to the muscle layer, radical cystectomy is the best treatment for preventing the spread or recurrence of cancer and helping people live longer.footnote 1
Complications are common after a radical cystectomy and may include short-term and longer-term problems.footnote 2
Bladder cancer surgery may affect your fertility. If a woman's uterus or ovaries are removed during the surgery, she will not be able to get pregnant. If a man's prostate gland is removed, he will not be able to father a child. If you are concerned about your fertility, talk to your doctor about your options before your surgery.
Bladder cancer surgery may also affect how you feel about your body. It may also affect your sexual function. Having sexual intercourse may be more difficult for a woman who has part of her vagina removed. A man may have erection problems if his surgery involves removing the prostate and seminal vesicles. For more information, see the topic Sexual Problems in Women or Erection Problems.
If a woman's ovaries are removed during the surgery, she may have hot flashes and other symptoms of menopause. For more information, see the topic Menopause.
Berglund RK, Herr HW (2012). Surgery of bladder cancer. In AJ Wein et al., eds. Campbell-Walsh Urology, 10th ed., vol. 3, pp. 2375–2385. Philadelphia: Saunders.
Feldman AS, et al. (2015). Cancer of the bladder, ureter, and renal pelvis. In VT DeVita Jr et al., eds., DeVita, Hellman, and Rosenberg's Cancer Principles and Practices of Oncology, 10th ed., pp. 896–916. Philadelphia: Walters Kluwer.
Current as of:
August 21, 2019
Author: Healthwise StaffMedical Review: E. Gregory Thompson MD - Internal MedicineKathleen Romito MD - Family MedicineChristopher G. Wood MD, FACS - Urology, Oncology
Current as of: August 21, 2019
Author: Healthwise Staff
Medical Review:E. Gregory Thompson MD - Internal Medicine & Kathleen Romito MD - Family Medicine & Christopher G. Wood MD, FACS - Urology, Oncology
To learn more about Healthwise, visit Healthwise.org.
© 1995-2020 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
Feeling under the weather?
Use our interactive symptom checker to evaluate your symptoms and determine appropriate action or treatment.
Our interactive Decision Points guide you through making key health decisions by combining medical information with your personal information.
You'll find Decision Points to help you answer questions about:
Get started learning more about your health!
Our Interactive Tools can help you make smart decisions for a healthier life. You'll find personal calculators and tools for health and fitness, lifestyle checkups, and pregnancy.
509 N. Bright Leaf Blvd.
Smithfield, NC 27577
Phone (919) 934-8171
Employee Intranet Login
Copyright 2020 UNC Health Care. All rights reserved.