Types of Cystectomies
A cystectomy is a bladder cancer surgery in which at least some portion of a person’s bladder is removed. Cystectomies are usually only performed in the direst of circumstances, primarily in attempts to stop aggressive bladder cancers. If a bladder cancer exhibits signs it is metastasizing, or spreading, it might lead to the prescription of a cystectomy as a necessary treatment. Patients with tumors that do not respond to chemotherapy and other treatments or whose cancer invades the muscles around the bladder might also have their bladders removed to stop the cancer from spreading.
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Cystectomy is the last-resort treatment doctors have when cleaning away bladder cancer. There are three kinds of cystectomies, classified by their scope and function. A segmental cystectomy is a cystectomy that only removes the sick part of a bladder. Segmental cystectomies cannot be performed if the cancer is too close to the ureters or urethra due to the risk of damaging them. A simple cystectomy is the removal of the entire bladder. Doctors can replace the bladder with a bit of small intestine or synthetic bags.
A radical cystectomy is the removal of the bladder and any nearby sex glands the cancer might have spread to. In women, for example, a radical cystectomy results in the loss not only their bladder, but their uterus, fallopian tubes, ovaries, urethra, and the front wall of the vagina as well. This is the most extreme surgery option for bladder cancer, but it has a high rate of success.
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