Cystourethrectomy

Cystourethrectomy is a surgical procedure that involves the removal of the bladder (cystectomy) and the urethra (urethrectomy). This procedure is typically performed to treat bladder cancer that has spread to the urethra.

Indications

Cystourethrectomy is primarily indicated for bladder cancer that has spread to the urethra. It may also be performed in cases of severe bladder trauma or other conditions that severely affect the function of the bladder and urethra.

Procedure

The procedure involves the removal of the bladder and the urethra. The surgeon may also remove the nearby lymph nodes to check for the spread of cancer. After the bladder and urethra are removed, the surgeon will create a new way for the body to store and remove urine. This can be done in several ways, including creating a neobladder or an ileal conduit.

Risks and Complications

As with any major surgery, cystourethrectomy carries risks, including infection, bleeding, and complications from anesthesia. Specific risks related to this surgery include changes in sexual function, urinary incontinence, and the need for a permanent urinary diversion.

Recovery

Recovery from a cystourethrectomy can take several weeks or months. Patients will need to learn how to care for their new urinary system, which may include self-catheterization or care of a urostomy.

See Also

• Bladder cancer
• Urethra
• Neobladder
• Ileal conduit

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