A partial cystectomy is a procedure in which the surgeon removes part of your bladder, leaving enough of it so it can still hold enough urine for you to urinate comfortably.
This procedure is used only when you have a cancerous tumor in your bladder that is not too large and is in a place where it can be removed without hurting bladder function. A partial cystectomy is rarely performed because in most cases bladder cancer involves several sites in the bladder and the risk of the cancer returning is much higher when part rather than all of the bladder is removed.
Examples of alternatives to this procedure are:
You should ask your healthcare provider about these choices.
Plan for your care and recovery after the operation. Find someone to drive you home after the surgery. Allow for time to rest and try to find people to help you with your day-to-day duties.
Follow your provider's instructions about not smoking before and after the procedure. Smokers heal more slowly after surgery. They are also more likely to have breathing problems during surgery. For these reasons, if you are a smoker, you should quit at least 2 weeks before the procedure. It is best to quit 6 to 8 weeks before surgery.
If you need a minor pain reliever in the week before surgery, choose acetaminophen rather than aspirin, ibuprofen, or naproxen. This helps avoid extra bleeding during surgery. If you are taking daily aspirin for a medical condition, ask your provider if you need to stop taking it before your surgery.
Follow any other instructions your healthcare provider may give you. Eat a light meal, such as soup or salad, the night before the procedure. Do not eat or drink anything after midnight and the morning before the procedure. Do not even drink coffee, tea, or water.
You will be given general anesthesia. A general anesthetic will relax your muscles and put you to sleep. It will prevent you from feeling pain during the operation.
The surgeon will make a cut (incision) in the lower part of your abdomen to expose the bladder and tie off the blood supply to the area. The surgeon will remove the affected part of the bladder and sew the remaining part closed, then close the cut.
Ask your healthcare provider what steps you should take and when you should come back for a checkup.
The cancer in the bladder may be removed without loss of your bladder.
You should ask your healthcare provider how these risks apply to you.
Call your provider right away if:
Call during office hours if: