Uro-Oncology

Radical Cystectomy

Removal of the urinary bladder for selected bladder cancers, together with reconstruction of a new way for urine to leave the body.

Book a Consultation Call 080 6165 6666

Dr. Anand Arumugam, MBBS, MS, M.Ch
Manipal Hospital, Varthur Road

Radical Cystectomy – procedure illustration — Uro-Oncology

Procedure overview

What is Radical Cystectomy?

Radical cystectomy is a major cancer operation. In men it commonly includes the prostate and seminal vesicles; in women, other nearby organs may be included depending on the disease. Urinary diversion is planned as part of the procedure.

Important. This page provides general education. Your diagnosis, treatment choice and recovery plan must be confirmed in consultation.

When it may be considered

Clinical needs come before technique.

01Muscle-invasive bladder cancer
02Selected high-risk non-muscle-invasive disease
03Cancer not controlled by bladder-preserving treatment
04Patients assessed as suitable for major surgery

Diagnosis & preparation

What happens before a decision.

Assessment may include

A focused history and physical examination
Urine and blood tests relevant to the condition
Ultrasound, X-ray, CT, MRI or other appropriate imaging
Anaesthesia and general-health assessment when surgery is planned

Specific tests vary. Bring existing reports so unnecessary repetition can be avoided where possible.

Potential benefits

Why this option may be discussed.

Comprehensive removal of the diseased bladder
Lymph-node assessment when indicated
Multiple urinary-diversion options
Treatment planned around cancer stage and overall health

All procedures have potential risks and may not achieve the same result for every patient. Alternatives, risks and expected outcomes should be discussed personally.

Recovery & follow-up

Plan the return to everyday life.

Recovery includes hospital care, mobility, nutrition and learning to manage the chosen urinary diversion. Follow-up covers pathology, wound care, hydration and long-term cancer surveillance.

Contact your care team urgently if advised warning signs occur

These may include fever, worsening pain, heavy bleeding, breathing difficulty or inability to pass urine. Follow the discharge instructions given to you.

Procedure FAQs

Questions patients commonly ask.

How do I know whether Radical Cystectomy is right for me?

Suitability depends on your diagnosis, test results, general health and treatment goals. A consultation is needed to compare this procedure with observation, medicine or other procedural options.

What should I bring to the consultation?

Bring relevant imaging, laboratory reports, discharge summaries, a medicine and allergy list, and details of previous surgery or treatment.

How long does recovery take?

Recovery varies by procedure and patient. Dr. Anand and the hospital team will explain the expected stay, activity limits, medicines, follow-up and warning signs for your individual plan.