Urological Oncology

Bladder Cancer Surgery

From endoscopic removal (TURBT) for early disease to removal of the bladder (cystectomy) for muscle-invasive cancer.

01What is it?

Early bladder cancer is treated with TURBT plus intravesical therapy. Muscle-invasive cancer may require radical cystectomy — removal of the bladder — with creation of a new way to store and pass urine (urinary diversion).

02When is treatment considered?

Guided by the stage and grade from TURBT pathology and imaging.

03Available treatment options

For muscle-invasive disease, options include cystectomy with chemotherapy, or bladder-preserving approaches combining TURBT, chemotherapy and radiation in suitable patients.

04What does the procedure involve?

Cystectomy is major surgery: the bladder is removed and urine is diverted either into a stoma bag (ileal conduit) or, in suitable patients, a new internal reservoir (neobladder).

05Expected recovery

Hospital stay of about a week or more, with recovery over 6–12 weeks. Stoma or neobladder training is provided by specialist nurses.

06Common risks

Bleeding, infection, blood clots, effects on sexual function, and diversion-related issues such as infections or metabolic changes — all discussed in detail beforehand.

07When to seek medical attention

Fever, wound problems, or a stoma that stops working after discharge need urgent contact with the team.

08Frequently asked questions

This website provides general educational information and is not a substitute for an individual medical consultation. Diagnosis and treatment should be based on assessment by a qualified healthcare professional.