DR. MAYANK MOHAN AGARWAL
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Laparoscopic radical Cystoprostatectomy

Laparoscopic radical cystoprostatectomy may become an attractive treatment choice for selected candidates who have localized muscle-invasive bladder cancer. The procedure has been currently restricted to patients with a small-volume bladder cancer without extravesical involvement or pelvic lymphadenopathy on abdominal computed tomography. Your surgeon will be able to construct a new bladder using a segment of small bowel, employing pure laparoscopic techniques exclusively.

What happens before laparoscopic radical cystoprostatectomy?

Before the surgery, your doctors will test to ensure that the cancer has not spread beyond the bladder and prostate. Additional testing will be performed to check if you are at risk for comorbidities such as heart and lung disease.

A preoperative evaluation is typically recommended by the physicians to help plan for the challenge of managing a urinary stoma postoperatively and the need for stomal site marking prior to surgery.
You will be asked not to  eat anything after midnight the day before surgery. If your doctor asks you to take medications, you'll have to take them with small sips of water. Additionally, you'll be asked to undergo a bowl preparation to help clear out your digestive system. This helps give the surgeon more room to work and cuts down on risks.
Before the surgery, you'll be given general anesthetic with muscle relaxation. A laparoscopic radical cystoprostatectomy typically lasts between 3 to 5 hours.

What happens during laparoscopic radical cystoprostatectomy?

During laparoscopic radical cystoprostatectomy, your surgeon removes your bladder and prostate by creating several small incisions (this is less traumatic than an open surgery and will help you to heal better). Once it is removed, your surgeon will have several options to create a new bladder from existing tissue.

What happens after laparoscopic radical cystoprostatectomy?

After the procedure, you’ll be taken into a recovery room where nurses will monitor your condition until you are awake and stable. You’ll be given medication for pain as needed .

Our expert staff will give you with Intravenous (IV) fluids to provide you nutrition until your digestive track recovers enough to eat solid food. If you eat or drink too sooner after surgery, you may experience nausea, vomiting, or other side effects. Our nurses will encourage you to sit up and to walk around as soon as possible after surgery. Doing so has several benefits. It encourages blood flow (which helps healing and prevents blood clots) and promotes oxygen flow (to prevent pneumonia and help healing).
Once you are cleared with your bills, you wil be allowed to go home and will be prescribed medication to manage pain, treat potential constipation, and to prevent infections (antibiotics).