Radical Cystectomy with Neobladder Reconstruction

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.