Radical Cystectomy and Bladder Reconstruction for Bladder Cancer
Advanced Treatment for Bladder Cancer While Preserving Quality of Life
Learn About Bladder Cancer Treatment, Cystectomy, and Surgical Details
Restoring Comfort and Health Under the Supervision of Dr. Yaman Al-Tal
Radical cystectomy is a surgical procedure used to treat bladder cancer. In this procedure, the bladder is completely removed along with some surrounding tissues. This operation is usually performed to treat bladder cancer in its advanced stages, particularly when the tumor has invaded the bladder muscle or has not responded to other treatments. Radical cystectomy is considered an effective treatment option, especially in cases where achieving the highest chance of cure is required.
What Is Bladder Surgery?
When bladder cancer invades the muscle layer, or when superficial cancer does not respond to treatment, radical bladder removal becomes the optimal solution to achieve the highest chance of cure.
In men, the bladder and prostate are removed.
In women, the uterus and ovaries are removed along with the bladder.
After bladder removal, urinary diversion is performed. There are several methods, determined by the surgeon based on multiple factors. The most common methods include:
Diverting urine through an opening in the abdomen (external urinary stoma), or
Constructing a new bladder from a segment of the intestine and reconnecting it to the urinary tract, eliminating the need for an external bag.
Bladder cancer treatment and radical cystectomy are considered major surgical procedures.
Dr. Yaman Altal
Consultant urology and kidney surgeon in Jordan. Consultant in endoscopic and robotic surgery for kidney, prostate, and bladder tumors.
14 years of experience in the United Kingdom.
Subspecialty training at Imperial College London University Hospital in prostate surgery, robotics, and endoscopy.
Complications of Radical Cystectomy:
Bleeding
Bowel obstruction
Urine leakage
Infection
Vitamin B12 deficiency
Blood clots
How Long Does the Patient Stay in the Hospital After Bladder Reconstruction?
The patient typically stays in the hospital for five to ten days after surgery.
Jordan is known for its extensive experience in this type of surgery. The cost of bladder reconstruction surgery in Jordan varies depending on the type of procedure performed. Dr. Yaman Al-Tal performs radical cystectomy and intestinal bladder reconstruction at leading hospitals in Jordan.
Book your consultation now with Dr. Yaman Al Tal
Don’t ignore urinary tumor symptoms—early diagnosis is the key to proper treatment.
FAQs About Radical Cystectomy and Bladder Reconstruction
When does a patient need bladder removal?
Bladder removal is recommended when bladder cancer has invaded the muscle layer or has recurred after endoscopic treatment. The goal is complete tumor removal and prevention of spread while preserving urinary function as much as possible.
What is the difference between partial and total bladder removal?
In partial cystectomy, only the affected part of the bladder is removed and is used in limited cases.
Total cystectomy is performed when the tumor has spread within the bladder or recurred, and the entire bladder is removed, followed by creating a new bladder or external urinary diversion.
Can all patients receive an internal bladder substitute?
No. The decision depends on the patient’s age, general health condition, and the status of the kidneys and ureters. In some cases, an external urinary diversion (ileal conduit) may be the safer option.
Can the tumor return after bladder removal?
In most cases, no—especially when the tumor is completely removed and the patient follows regular postoperative monitoring. The doctor schedules periodic imaging and laboratory tests to ensure kidney and urinary tract health.
How is bladder removal and reconstruction performed?
The surgery is performed under general anesthesia. The tumor and bladder are completely removed, then a new bladder is reconstructed from a segment of the intestine and connected to the urinary tract. The procedure usually takes 4 to 6 hours and is performed by a specialized urologic oncology team.
Can patients urinate normally after bladder reconstruction?
Yes. In most cases, patients can urinate normally through the urethra. However, they may require training to strengthen control of the new bladder in the beginning.
What is the success rate of bladder removal and reconstruction surgery?
Success rates exceed 90% when the surgery is performed at the appropriate time, with significant improvement in quality of life and restoration of natural urination.
What does postoperative follow-up involve?
Follow-up is conducted periodically every few months with urine tests and imaging studies to ensure the health of the kidneys and the reconstructed bladder, and to detect any early changes. A personalized program is also provided to train the new bladder and improve urinary control.