For select patients with bladder cancer, removing only a part of the bladder (partial cystectomy), or removing a diverticulum containing cancer (diverticulectomy) may be appropriate.
However, given how aggressive bladder cancers tend to behave, only a small percentage (approximately 5-10%) of patients with muscle-invasive bladder cancer are suitable candidates for partial cystectomy.
Partial cystectomy has certain advantages over radical cystectomy such as maintaining a functionally continent native urinary reservoir and preserving sexual function in both men and women.
The classically described indication for partial cystectomy are patients with an adenocarcinoma arising from a urachal remnant involving the dome of the bladder. Necessary criteria in patients with urothelial cancer include a small tumour (<2cm), away from the trigone, with a good capacity bladder.
prostate / bladder neck involvement, lympho-vascular invasion, carcinoma in situ and prior radiotherapy.
Benign conditions of the bladder that can be managed with partial cystectomy include, colovesical fistula repair, vesicovaginal fistula repair and localized endometriosis of the bladder. Patients with large, symptomatic bladder diverticula due to bladder outlet obstruction (BPH or stricture) may benefit from diverticulectomy in addition to having the cause of their obstruction treated.
At Sydney Urology Group, partial cystectomy and diverticulectomy can be performed as an open operation or minimally invasively utilising the da Vinci Xi robot.
At Sydney Urology Group we provide a multidisciplinary, patient-centred model of care with our purpose to improve the quality of life for our patients and for the friends and families who are supporting them.
At Sydney Urology Group we provide a multidisciplinary, patient-centred model of care with our purpose to improve the quality of life for our patients and for the friends and families who are supporting them.
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