Reconstruction after Cystectomy
Urinary Reconstruction and Diversion
When bladder cancer forces the removal of the entire bladder, the surgeon creates another way for urine to be collected, stored and released from the body.
There are three ways this can be done and our physicians will help you decide which is best for you:
A surgeon uses tissues from the intestines to create what is known as a neobladder. The neobladder is attached to the urethra and allows the patient to urinate normally. We are leaders in the field of this minimally invasive laparoscopic surgery. With this procedure, there is less blood loss and patients are able to return to normal physical activity much faster.
Urinary diversion with a bag outside the body
A surgeon uses intestinal tissue to create a path for urine to leave the body through an opening in the abdomen. This path is called a stoma. Its opening in the abdomen is covered by a bag that sits outside the body and catches the urine as it is released.
Urinary diversion with a pouch inside the body
A surgeon uses intestinal tissue to create a reservoir called an Indiana Pouch and a path that leads out to the abdomen. The pouch collects urine inside the body. Several times a day, the patient uses a catheter, or soft tube, to connect to the path in the abdomen and empty urine in the pouch.