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Radical cystectomy is done to treat muscle-invasive or high-risk bladder cancer when other treatments are not effective. It helps remove cancer completely, prevent its spread, and improve long-term survival.
If you have persistent blood in your urine, high-risk or recurrent bladder cancer that is not responding to conventional therapies, muscle-invasive bladder cancer, or increasing urinary symptoms, you should visit a doctor. Determining if a radical cystectomy is required to stop the spread of cancer is made easier with early consultation.
Talking in-depth with the surgeon and anaesthetic team about your medical history, prior surgeries, allergies, medications, and lifestyle choices like drinking or smoking is part of getting ready for a radical cystectomy. Before surgery, you could be told to stop smoking, fast starting at midnight, and adhere to a clear liquid diet for one to two days. It could be necessary to discontinue taking some vitamins and drugs. In order to guarantee appropriate postoperative treatment, your care team will also instruct you on how to use any necessary equipment and explain urinary diversion alternatives, including how urine will be stored and drained following surgery.
Both open and minimally invasive (robot-assisted) methods are used for radical cystectomy under general anaesthesia. After making a big or multiple minor incisions to gain access to the bladder, the surgeon removes either the entire bladder or just a portion of it. An ileal conduit, continent pouch, or neobladder is an example of a urinary diversion that allows urine to escape the body. After that, the wounds are sealed and bandaged.
The average time for a radical cystectomy is 4 to 8 hours, but the precise time varies depending on the intricacy; simpler robotic procedures may be completed in 3-4 hours, while more complicated cases, particularly those involving neobladder construction, may take up to 8 hours or longer.
- Bleeding.
- Clots of blood.
- Infection.
- Poor healing of wounds.
- Harm to adjacent tissues or organs.
- Sepsis
In particular, patients with advanced or high-risk bladder disorders can benefit greatly from radical cystectomy. The process lowers the chance of disease spread and recurrence by assisting in the total removal of cancer. In addition to helping alleviate symptoms including pain, bleeding, and urinary blockage, it can greatly increase the survival rates of individuals with invasive bladder cancer. Radical cystectomy improves overall quality of life following recovery by maintaining kidney function and urine drainage through the creation of a safe urinary diversion.
Post-operative recovery after radical cystectomy typically involves a hospital stay of about 7 to 10 days, depending on the patient’s overall health and type of urinary diversion performed. In the initial days, pain is managed with medications, and patients are encouraged to start gentle movement to prevent complications such as blood clots. Gradually, oral intake is resumed, and bowel function returns. Patients receive training on urinary diversion care, including managing a stoma or catheter if required. Full recovery may take 6 to 8 weeks, with regular follow-up visits to monitor healing, kidney function, and overall adaptation to lifestyle changes.
The success rate of radical cystectomy is generally high, especially when performed for appropriately selected patients with muscle-invasive or high-risk bladder cancer. In experienced centers, the procedure is effective in achieving long-term cancer control and survival, with outcomes improving when combined with proper follow-up and, when indicated, chemotherapy. Advances in surgical techniques and post-operative care have also reduced complication rates, making radical cystectomy a reliable and well-established treatment option.
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Fortis Hospital
Bangalore, India
5.0 ( 1 Reviews )
Fortis Hospital, Bannerghatta Road, Bangalore, has been a leading multi-speciality healthcare institution, offering advanced medical services with a patient-centric approach. The hospital features 400+ beds, state-of-the-art infrastructure, and experienced specialists across various specialities, providing comprehensive and compassionate care. Trusted by patients from India and abroad, Fortis Bannerghatta Road combines modern technology with high-quality treatment to deliver world-class healthcare.
Aakash Healthcare Super Speciality Hospital
Delhi, India
Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- One of the biggest tertiary care hospitals in India
- Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
- 230 beds
- 70 bedded medical and surgical and Critical Care Unit
- Ward Bed Options- Twin, Deluxe, Sharing and Economy
- Pneumatic Tube System
- Ambulance Services 24x7
- 15 Bedded dialysis unit
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- Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
- 8 modular OTs
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- LASIK - SMILE Suite
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- State-of-the-art diagnostic equipment
- 15 Dialysis beds
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- Deployed high-end technologies & smart digital system
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- International Patients Lounge
- Airport Pick-up and Drop
- Accommodation and Food for Attendant
- Language Interpreter Services
- 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
- Robotic knee replacement surgery
- ATM
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- Internet Access: The whole facility is Wi-Fi enabled
- Travel Desk: Provides an all-round patient care.
- 24x7 pharmacy
Aster Medcity
Kochi, India
- 670 bed facility
- 24 hours Emergency and Trauma Care
Aster Centres of Excellence
- Cardiac Sciences
- Orthopaedics & Rheumatology
- Neurosciences
- Nephrology & Urology
- Oncology
- Gastroenterology
- Integrated Liver Care
- Womens Health
- Child & Adolescent Health
- Multi Organ Transplant
- Diagnostic Technology used for increasing the efficiency of diagnostic procedures.
- Streamlined Application of Therapeutic Technology
- Minimal Access Robotic Surgery (MARS) which makes use of the da Vinci Surgical System is applied by the specialists in Aster Medcity, Kochi, Kerala.
- ORI Fusion Digital Integrated Operation Theatres which applies Karlstorz OR1 Fusion system.
- Completely digital Anesthesia facility
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Medicana Camlica Hospital
Istanbul, Turkey
4.2 ( 2 Reviews )
Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 150 bedded Hospital
- Specialty-based clinics
- Fully-equipped patient rooms
Memorial Sisli Hospital
Istanbul, Turkey
Memorial Sisli Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Operates in a closed area of 53,000 sqm
- Capacity of 252 beds
- 13 Operating rooms
- 4 Intensive Care Units (KVC, General, Coronary, Neonatal)
- 3 Laboratories
- Organ Transplantation Center
- IVF Center
- Genetic Center
- Stroke Center
- Breast Health and Disease Center
- Oncology Center
- Da Vinci Robotic Surgery Center
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Hisar Intercontinental Hospital
Istanbul, Turkey
Architecture of the Hospital designed as per the comfort of patients-
- Consisting of 8 floors, 212 bed capacity
- 75m2 suite rooms
- 35 thousand m2 closed area
- 7 operating rooms
- 53 polyclinics
- 54 Departments
- Hotel-like patient rooms
- Intensive care units consisting of 33 beds
- Hyperbaric Oxygen Center inside the hospital
- PYXIS computerized medicine system working with fingerprint
- Social waiting areas
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Tel Aviv Sourasky Medical Center -Ichilov Hospital
Tel Aviv, Israel
Tel Aviv Sourasky Medical Center -Ichilov Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The center possesses high end infratsructure with latest technologies which are upbgraded on a regular basis.
- There are 60 departments in Tel Aviv Sourasky Medical Center
- The center has as many as 6 institutions:
- Ichilov General Hospital
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- Dana-Dwek Children's Hospital
- Sammy Ofer Heart & Brain Building
- Adams Health Science & Rehabilitation Building (in the planning stage)
- Lis Maternity and Women's Hospital
- Patient Care Numbers (annual) are as follows:
- 400,000 patients
- 36,000 surgeries
- 220,000 ER visits
- 12,000 births
- The bed capacity of the center is 1300.
- Good success rates during treatment for the majority of conditions.
Lifecare Hospital, Musaffah
Abu Dhabi, United Arab Emirates
Lifecare Hospital, Musaffah located in Abu Dhabi, United Arab Emirates is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Inpatient Pharmacy
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Thumbay University Hospital, Ajman
Ajman, United Arab Emirates
4.1 ( 1 Reviews )
Thumbay University Hospital, Ajman located in Ajman, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The hospital has a 250 bed capacity.
- Excellent quality of healthcare facilities and services at par with developed countries.
- Multilingual and multinational healthcare professionals working in the Thumbay Hospital Ajman (belonging to 20 nations and fluent in 50 plus languages).
- Equipped with the newest facilities to ensure highest standards of healthcare delivery to patients at economical costs.
- Dedicated, compassionate and highly educated healthcare professionals work in Thumbay Hospital Ajman.
- Well developed diagnostic facilities are also available.
- A 24/7 functioning emergency care department and advanced facilities in Radiology.
- There is presence of an ultramodern Catheterization Lab (Cath Lab) and Electrosurgery Cryotherapy in dermatology, Interlocking intramedullary nailing.
- Also available under dental departments Panoramic, digital intra-oral X-rays, Cephalogram are present.
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- Ear, nose, and throat
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Medical Park Karadeniz Hospital
Trabzon, Turkey
Apart from in-detail treatment procedures available, Medical Park Karadeniz Hospital located in Trabzon, Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, TV inside room. Also listed below are some of the most prominent infrastructural details:
- Situated in an area of 12.000 square meter
- Capacity of 107 beds
- Intensive Care Unit (17 beds)
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- 6 Operating Rooms
- Cafeteria
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+99Process Involved for Radical Cystectomy
Diagnosis & Pre-Surgical Evaluation
- Cystoscopy, imaging (CT/MRI), urine tests, and blood tests
- Assessment of overall health and anesthesia fitness
Pre-Surgery Preparations
- Fasting, bowel preparation, and medication review
- Discussion of urinary diversion options
Procedure
- Removal of the bladder (and nearby organs if required)
- Creation of a urinary diversion (ileal conduit, neobladder, or continent pouch)
Post-Surgical Recovery
- Hospital stay with pain control and stoma or catheter care
- Gradual return to normal diet and activities
Long-Term Follow-Up
- Regular follow-ups to monitor kidney function and cancer status
- Ongoing care for urinary diversion and quality-of-life support
- Muscle-invasive bladder cancer
- High-risk non-muscle-invasive bladder cancer not responding to treatment
- Recurrent bladder cancer
- Bladder cancer with extensive spread within the bladder
- Severe bladder dysfunction due to cancer-related damage
- Open Radical Cystectomy: Traditional surgery with a large incision, used for complex cases.
- Laparoscopic Radical Cystectomy: Minimally invasive surgery with small incisions and faster recovery.
- Robotic-Assisted Radical Cystectomy: Robot-guided minimally invasive surgery offering higher precision and better recovery outcomes.
- Diagnosed with muscle-invasive bladder cancer
- High-risk or recurrent non-muscle-invasive bladder cancer not responding to other treatments
- Bladder cancer that has spread locally but is still operable
- Good overall health to tolerate major surgery and anesthesia
- Adequate kidney, heart, and lung function
- No widespread distant metastasis
- Patient fit for and agreeable to urinary diversion after bladder removal
- Urinary Diversion
- Lymph Node Dissection
- Robotic-Assisted Surgery
- Stoma Care and Management
- Reconstructive Surgery
- Complete removal of muscle-invasive or high-risk bladder cancer
- Reduces risk of cancer spread and recurrence
- Relieves symptoms such as pain, bleeding, or urinary obstruction
- Preserves kidney function through urinary diversion
- Improves long-term survival in selected patients
- Enhances overall quality of life post-recovery
- Complete removal of cancerous bladder tissue
- Effective cancer control and reduced risk of recurrence
- Restoration of urine drainage through urinary diversion
- Relief from bladder-related symptoms like pain and bleeding
- Preservation of kidney function
- Gradual return to daily activities with proper adaptation to urinary diversion
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