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The London Clinic was the first private hospital in the UK to introduce innovative robotic surgery. It’s a form of keyhole surgery which uses robotic technology to support the skill of our surgeons. The da Vinci® system helps our consultant urologists operate with increased precision and accuracy.

Bladder removal, or cystectomy, may be necessary to treat some bladder cancers. It can be effective for cancers that have extended into the muscle of the bladder, or for more aggressive cancers that haven’t responded to transurethral resection of the tumour (TURBT), chemotherapy or immunotherapy. Minimally invasive surgery using robotic technology results in fewer complications, a faster recovery time and a better outcome.

Cancer therapy can be physically and mentally demanding. At this stressful time, The London Clinic offers treatment using the very latest equipment, performed by world-leading surgeons, and a comfortable environment in which to recover.

Why choose The London Clinic?

The London Clinic is dedicated to providing the best, personalised healthcare with over 600 world-renowned consultants available, to offer informed health advice and treatment.

Spanning Harley Street and Devonshire Place, The London Clinic is situated in the heart of London’s internationally-known medical district. This central location, together with state-of-the art technologies and facilities that are not widely available in other hospitals, makes The London Clinic the hospital of choice for around 120,000 patients every year.

Offering affordable and competitive self-pay packages and expert support from Clinical Nurse Specialists and our specialised multidisciplinary team, 98% of our patients said they would recommend The London Clinic to their friends and families

Understanding your treatment

Traditionally, cystectomy has been performed by open surgery. The surgeon made an incision in the abdomen and removed the bladder. It was an extensive operation with the risk of significant blood loss, nerve damage and post-operative infections.

Robotic surgery allows the surgeon to operate with enhanced vision, improved precision and better control. You will have smaller scars and a decreased risk of complications.

Cancer treatment can be stressful. The London Clinic’s priority is to provide our patients with support, comfort and expert cancer care. Consultant urologists and specialist nurses have experience and expertise in robotic surgery and the management of bladder cancer. They will discuss your treatment options and take time to answer any questions you have. Your treatment will be discussed and planned at a multidisciplinary team meeting. Complementary therapy, counselling and an extensive physiotherapy service is available at The London Cline, 

Treatment facts

The surgery is performed under general anaesthetic. A high-definition, 3D camera is inserted through a small incision in the abdomen. This relays images to a computer. Your surgeon sits at a console and operates the surgical instruments remotely, guided by the screen images.

The surgeon can see the bladder in much greater detail, as well as being able to clearly identify important nerves and blood vessels in the area. The enhanced visualisation together with specially-designed flexible instruments, enable the surgeon to remove the bladder, while avoiding damage to nerves, blood vessels and muscles that are important for health and sexual function.

When performing cystectomy for bladder cancer, our surgeons will also remove the prostate in men and the womb and ovaries in women, to reduce the risk of the cancer spreading or coming back. 

Your surgeon will have to create a new method of draining urine from your body, once the bladder has been removed. These can include:

Ileal conduit: Creates a tube, made from a piece of small intestine, to carry urine to an opening on the abdomen. This stoma will be connected to a urine collection bag worn on the outside of the body.

A continent urinary diversion: Part of the bowel is used to construct a reservoir for urine inside the body. This also connects to a stoma, but enables intermittent emptying of urine by a catheter inserted by you, so that a bag doesn’t need to be worn.

An orthoptic bladder: A new bladder is reconstructed from bowel tissue; this drains urine out of the body through the normal route.

Your surgeon will discuss the potential options for you, always considering your thoughts and feelings as well as your age and general health. Our specialist nurses will teach you how to manage your urine collection bag or catheter, if this is required.

Treatment risks and recovery

There are risks with any procedure. Our surgeons, together with our experienced anaesthetists and nursing staff work to minimise these and support your safe recovery. In general, patients having robotic surgery for bladder cancer have shorter hospital stays, less blood loss and decreased post-operative pain.

Treatment cost

The London Clinic offers affordable, competitive self-pay packages for certain treatments.

Please call +44 (0)20 3613 7502 to speak to our helpful team to find out more and to book an appointment.

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