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Bladder cancer: Difference between revisions
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=== Radical cystectomy === | === Radical cystectomy === | ||
Radical cystectomy is indicated for muscle-invasive disease. It involves removal of the bladder, prostate, seminal vesicles, uterus, and adnexae. Lymph node dissection should also be performed. | Radical cystectomy is indicated for muscle-invasive disease. It involves removal of the bladder, prostate, seminal vesicles, uterus, and adnexae. Lymph node dissection should also be performed. Without a bladder, a bladder substitute should be made. There are multiple options: | ||
Without a bladder, a bladder substitute should be made. There are multiple options: | |||
* An ileal conduit urinary diversion, also called a Bricker conduit. A new bladder is made from part of the ileum, with the ureters connected to one end, and the other end opens through the abdominal wall like an enterostoma. Urine is collected in a bag connected to the stoma. This is the most common option | * An ileal conduit urinary diversion, also called a Bricker conduit. A new bladder is made from part of the ileum, with the ureters connected to one end, and the other end opens through the abdominal wall like an enterostoma. Urine is collected in a bag connected to the stoma. This is the most common option | ||