Cystoprostatectomy

Cystoprostatectomy is a surgical procedure that involves the removal of the urinary bladder and the prostate gland. This procedure is typically performed to treat bladder cancer that has spread to the prostate.

Indications

Cystoprostatectomy is primarily indicated for men with muscle-invasive bladder cancer that has spread to the prostate. It may also be performed in cases of severe bladder dysfunction that has not responded to other treatments.

Procedure

The procedure is performed under general anesthesia. The surgeon makes an incision in the lower abdomen to access the bladder and prostate. The bladder, prostate, and any nearby lymph nodes that may be affected are then removed. In some cases, the surgeon may also create a new way for urine to exit the body, known as a urinary diversion.

Risks and Complications

As with any major surgery, cystoprostatectomy carries risks, including infection, bleeding, and reactions to anesthesia. Other potential complications specific to this procedure include urinary incontinence, erectile dysfunction, and changes in sexual function.

Postoperative Care

After the procedure, patients typically stay in the hospital for one to two weeks. They may need to use a urinary catheter for a period of time. Follow-up care includes regular check-ups to monitor for any signs of cancer recurrence.

See Also

• Bladder cancer
• Prostate cancer
• Urinary diversion

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