Radical Cystectomy with Neobladder Reconstruction

Advanced Urology

التعافي

8-12 weeks

مدة الإقامة في المستشفى

10-14 days (Includes intensive care monitoring and bowel function recovery)

معدل النجاح

85-90%

Radical Cystectomy is the primary curative treatment for muscle-invasive bladder cancer. Historically, removing the bladder meant the patient had to wear a permanent external urine collection bag on their stomach (ileal conduit/stoma). Today, top-tier Indian urological cancer centers offer advanced Orthotopic Neobladder Reconstruction. After the cancerous bladder is completely removed (often using minimally invasive robotic surgery), the surgeon cuts a 20-inch section of the patient's small intestine, slices it open, and meticulously sews it into a spherical pouch. This "new bladder" is attached directly to the urethra, allowing the patient to urinate naturally and maintain a completely normal external body image.

تفاصيل الإجراء

This is a complex, 6 to 8-hour operation performed under general anesthesia. It can be done open or robotically. Step 1 (Excision): The surgeon removes the bladder, surrounding lymph nodes, and nearby reproductive organs (prostate in men; uterus/ovaries in women) to ensure complete cancer clearance. Step 2 (Reconstruction): A specific segment of the small bowel is isolated while keeping its blood supply intact. The intestine is folded and stitched into a round reservoir (neobladder). The ureters (tubes from the kidneys) are plugged into the top of this new pouch, and the bottom is sewn to the urethra.

مقارنة التكاليف

الدولة	التكلفة التقديرية	التوفير مقارنة بالولايات المتحدة
الهند الأفضل قيمةً	$9,000 - $15,000	وفّر ما يصل إلى 87%
الولايات المتحدة	$90,000	-
المملكة المتحدة	$35,000	-

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