Cystectomy Cost In India
International patients, the cost is approximately between USD 3800 to USD 4800. The treatment involves a 3-day hospital stay and an additional 11 days outside the hospital for recovery. The overall cost may vary based on the patient’s specific diagnosis and the choice of facilities and services they opt for during the treatment.
What is a cystectomy?
Cystectomy is a complex surgical procedure aimed at the full or partial removal of the urinary bladder. This organ, situated below the kidneys and above the urethra, functions as a reservoir for urine. Cystectomies are most frequently recommended for the treatment of bladder cancer. In cases where the entire bladder is removed, an alternative method is created for urine to exit the body. This procedure is not without its risks, which include bleeding, infection, and potential sexual side effects. Recovery from a cystectomy may span several weeks to months.
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Is a cystectomy major surgery?
Yes, a cystectomy is indeed a major surgical procedure as it involves the removal of all or part of the urinary bladder.
Can a person live without a bladder?
Yes, living without a bladder is possible, but it necessitates the creation of a new reservoir to store urine produced by the kidneys. Adjusting to this new method of relieving oneself may require some time, but most activities can still be resumed.
Why is a cystectomy performed?
Cystectomies are primarily conducted to address bladder cancer. However, in some cases, they are also recommended to treat congenital conditions or other disorders affecting the urinary system.
Procedure Details
Before the Cystectomy
Before the cystectomy, you will meet with a healthcare provider who will assess your general health and vital signs. They will discuss the surgical approach, whether it involves a partial cystectomy (removing part of the bladder) or a radical cystectomy (removing the entire bladder).
Partial Cystectomy: When a partial cystectomy is performed to treat cancer, nearby lymph nodes are usually removed to check for the presence of cancer beyond the bladder.
Simple Cystectomy: This approach is used for treating benign bladder conditions, such as neurogenic bladder, radiation cystitis, urinary fistula, and severe interstitial cystitis.
Radical Cystectomy: In this extensive procedure, the entire bladder and nearby lymph nodes are removed. For males, the vas deferens, prostate, and seminal vesicles may also be excised, while for females, it may involve removing the uterus, fallopian tubes, ovaries, cervix, and sometimes a portion of the vaginal wall.
Patients are advised to inform their healthcare provider of any medications, including over-the-counter and herbal supplements, as certain drugs may increase the risk of bleeding. Allergies should also be disclosed.
During the Cystectomy
A specialised healthcare team, including a urologist, an anesthesiologist, and nurses, performs the cystectomy. General anaesthesia is administered to keep the patient unconscious and pain-free during the procedure. Two surgical approaches are typically used:
Open Cystectomy: This method involves a single, long vertical incision between the belly button and pubic bone, through which the surgeon accesses the bladder.
Minimally Invasive (Laparoscopic or Robotic) Cystectomy: In this approach, carbon dioxide is used to inflate the abdomen, followed by several small incisions through which instruments, including a camera, are inserted. Laparoscopic surgery involves using these instruments directly, while robotic surgery involves controlling them through a surgical robot.
Reconstructive surgery is performed after removing part or all of the bladder to create a new system for storing and removing urine. Three common methods are used:
Ileal Conduit: In this method, a section of the small intestine is disconnected, with one end attached to the ureters and the other end connected to an opening in the skin (stoma). An ostomy bag is used to collect urine.
Continent Cutaneous Diversion: A reservoir is created using part of the small and large intestines, with one end attached to the ureters and the other to a stoma in the abdomen. Patients must periodically empty the reservoir using a catheter.
Neobladder: A reservoir is fashioned from a segment of the small intestine and connected to the urethra. Patients can voluntarily empty the neobladder, although some may require a urinary catheter.
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How long does cystectomy surgery take?
A cystectomy typically takes around six hours to complete.
After the Cystectomy
After the cystectomy, incisions are stitched and bandaged. The patient regains consciousness in a recovery room, where vital signs are monitored, and pain management is initiated.
How long is a hospital stay for bladder removal?
The duration of hospital stay varies based on the type of cystectomy:
- Laparoscopic or robotic cystectomy typically requires a hospital stay of at least one day.
- Open cystectomy entails a longer stay of up to a week.
- During the hospital stay, patients receive care, monitor their recovery, and are instructed on managing an ostomy bag if required.
Risks / Benefits
Advantages of a Cystectomy
The primary advantage of a cystectomy is its effectiveness in treating bladder cancer or noncancerous conditions affecting the bladder and urinary system.
Risks and Complications
Cystectomy, like any major surgery, comes with certain risks and potential complications:
- Bleeding
- Blood clots
- Infection
- Bowel complications
- Scar tissue obstructing urine flow
- Organ damage
- Anaesthesia risks
- Healing problems
- Fluid buildup at surgical sites (seroma)
Post-cystectomy, changes in appetite, bathroom habits, and urination patterns may occur, depending on the type of procedure. Some individuals may experience sexual side effects, such as difficulty achieving or maintaining an erection (in males) and discomfort during intercourse (in females).
Recovery and Outlook
Recovery Time
The recovery period can range from several weeks to months, with partial cystectomy patients typically experiencing a shorter recovery than those who undergo radical cystectomy.
Life After a Cystectomy
After a few weeks, patients can usually return to work or school and resume light physical activities. Adjusting to the changes in one’s body and daily routines may take time, especially for those with an ostomy bag. Proper care and maintenance are essential to ensure comfort and confidence.
When to Call the Doctor
Patients should contact their healthcare provider immediately if they experience signs of infection, persistent nausea and vomiting, heavy bleeding at surgical sites, unusual discoloration, swelling, or pus, or other concerning symptoms.
A cystectomy is a significant procedure, and healthcare providers are there to assist patients in adjusting to the changes and ensuring their long-term health and quality of life.
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Specialist: Surgical Oncologist
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- Providing a doctor’s opinion and proper quotation
- Selecting the best hospital and doctor as per your case
- Arranging a call with the doctor (if the case required)
- Visa assistance, Providing Visa Invitation Letter (VIL)
- Providing full guidance how to get Visa from your country
- Providing total cost including treatment, air tickets, accommodation, and food
- Assitance to book flight ticket from your country
- Arranging airport pick up/ drop
- Providing professional language interpreter
- Booking accommodation and guest house as per your budget/ prefrence
- Providing help in money exchanging
- Providing local sim card
- Arranging video consultation with specialist doctor if case requires
