Robotic Radical Cystectomy
Radical Cystectomy
Removal of the bladder for cancer involves
removal of the bladder and prostate in males and bladder with
uterus and ovaries in females. After bladder removal, various types
of procedures are performed to substitute for bladder function.
These include:
- Ileal Conduit which is a urinary
diversion operation that allows urine to pass from kidneys and
ureters through a passageway made of a short piece of small
intestine to the outside of the body.
- Reservoirs made from the bowel
needing intermittent passage of catheters by the patient (Continent
Urinary Diversion).
- Reconstruction of a new bladder
from bowel at the site of the original bladder (Orthotopic
Bladder).
The choice is made depending on individual's
disease status, physical fitness, kidney function and ability and
willingness to perform self catheterisation if required.
Robotic Radical Cystectomy
At The London Clinic, we integrate state-of-the-art technology
with the skill of experienced surgeons which allows us to carry out
extremely precise surgery through tiny surgical openings (‘ports’
or ‘keyholes’). The da Vinci®
Surgical System is the latest advancement in
robotic-assisted technology which enables our surgeons to treat
bladder cancer by removing the bladder laparoscopically.
Robotic surgery offers numerous potential benefits to
patients over traditional surgical approaches including:
- Less pain
- Less risk of infection
- Better cosmetic result
- Less blood loss and
transfusions
- Quicker recovery time
- Shorter hospital stay
- Equivalent or better treatment
in maintaining potency in men depending on the degree of sparing
nerves behind the prostate which are important for maintaining
erections.
Robotic cystectomy is particularly
suitable for patients with bladder cancer invading the muscle of
the bladder or those aggressive cancers which fail to respond to
traditional treatment such as telescopic removal of the tumour
(TURBT) and chemotherapy or immunotherapy (BCG) put into the
bladder. These are patients with cancers which would spread unless
the bladder is removed completely.
Our experts
Mr M Shamim Khan OBE MBBS MCPS
FRCS(Urol) FEBU |
Mr Prokar Dasgupta MBBS MSc (Urol)
MD FRCS(Urol) FEBU