Radical Cystectomy with Ileal Conduit is a surgical procedure performed to remove the entire bladder (radical cystectomy) and create an alternate way for urine to exit the body using a segment of the small intestine (ileal conduit). This procedure is primarily used to treat muscle-invasive bladder cancer (MIBC) or recurrent, high-risk bladder cancer.
Indications for Radical Cystectomy with Ileal Conduit
- Muscle-Invasive Bladder Cancer (MIBC): Cancer that has spread into the bladder’s muscle layer.
- Recurrent High-Grade Non-Muscle Invasive Bladder Cancer: Cancer that returns despite treatment.
- Bladder Dysfunction or Severe Damage: Due to radiation, chronic inflammation, or neurogenic bladder.
- Non-Responsive to Conservative Treatment: When less invasive treatments fail to control cancer progression.
How is Radical Cystectomy with Ileal Conduit Performed?
- Preoperative Evaluation:Imaging , Blood and Urine Tests and Biopsy Confirmation
- Anesthesia: Performed under general or spinal anesthesia.
Complications and Risks
- Infection or Bleeding
- Urinary Leakage
- Bowel Obstruction
- Electrolyte Imbalance
Benefits of Radical Cystectomy with Ileal Conduit
- Effective Removal of Bladder Cancer: Prevents local and distant spread of the disease.
- Improved Survival in Muscle-Invasive Cancer: Provides a high cure rate for localized bladder cancer.
- Simple and Reliable Urinary Diversion: Ileal conduit is less complex than other urinary diversion options.
- Reduced Risk of Cancer Recurrence: Through complete removal of affected organs and lymph nodes.
Limitations of Ileal Conduit
- Limitations of Ileal Conduit
- Risk of Stoma-Related Issues
- Body Image Concerns
Radical Cystectomy with Ileal Conduit is a life-saving procedure for muscle-invasive or high-risk bladder cancer. It effectively removes the cancerous bladder and provides a reliable urinary diversion, ensuring improved survival and better quality of life. While it requires an external urostomy bag, it offers a simple and durable solution for long-term urinary drainage.
