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Radical Cystoprostatectomy (Male) and Anterior Pelvic Exenteration (Female) With Extended Pelvic Lymph Node Dissection
When bladder cancer is found to be invasive, (grown through the bladder lining and into the bladder muscle) removal of the bladder (partial or radical cystectomy) is performed along with removal of the nearby lymph nodes. Data has shown removal of lymph nodes in an extended dissection improves staging and prognosis for patients with bladder cancer. If the bladder is removed a new passage will be made for the urine to leave the body. The most common method is by the formation of an Ileal conduit or urostomy. In this technique a small section of the bowel is removed and used to join the ureters from the kidney to the skin of the abdominal wall and the remaining bowel is joined together again. In men, the prostate gland is also removed. These operations are all very complex procedures. If your urologist feels that the best course of treatment for your bladder cancer is surgery, he/she will discuss these in detail with you.
In addition, patients diagnosed with advanced (metastatic) bladder cancer and may be enrolled in a neoadjuvant chemotherapy regimen which has been shown in randomized controlled trials to improve overall survival. Our doctors are active members of the Urologic Oncology Program at the Center for Cancer Prevention and Treatment at St. Joseph Hospital in Orange. The cancer center is unique in that it is the first and only National Cancer Institute (NCI) designated National Community Cancer Center Program in California. This is a high volume, multidisciplinary cancer center focusing on proven NCCN Guideline based treatments.
Doctors with expertise in incontinence, bladder suspension ("bladder lift") and sling procedures, kidney stones, no needle no scalpel vasectomy, vasectomy reversal, laparoscopy and laparoscopic kidney and prostate surgery, prostate diseases including cancer and enlarged prostate, cryoablation (or cryotherapy) of prostate and kidney, robotic (da Vinci) prostate surgery
Adult and pediatric urology, urologic surgery, in Orange County California
Serving Orange, Tustin, Irvine, Santa Ana, Garden Grove and Anaheim
Our urology office/urologists accept most major insurance including Medicare, Anthem Blue Cross, Health Net, United Health, Aetna, Cigna, Blue Shield, Pacificare
The information on this site is solely for purposes of general patient education, and may not be relied upon as a substitute for professional medical care. Consult your own physician for evaluation and treatment of your specific condition.
Associated Urologists of Orange County
State-of-the-Art
UROLOGY AND UROLOGIC SURGERY
In a Minimally Invasive Way
