Dr.N.Kathiresan, MS,DNB,MRCS, MCh,
Consultant Surgical Oncologist,
Apollo Cancer Institute, Chennai
Urinary Bladder Cancer, though uncommon is one of the cancers with significant risk to life if detected late. Causative factors include smoking / using tobacco in any form, people exposed to chemical dyes. Blood mixed urine is the commonest symptom.
Around 70% of the bladder cancers are superficial which is early stage cancer and can be treated relatively easily with cystoscopic removal and drugs. However 30% of them tend to be muscle invasive (locally advanced stage) for which Radical Cystectomy (removal of the urinary bladder) is the Gold standard to achieve cure. Urinary drainage after removal of bladder can be achieved either by a stoma ( bag attached to abdominal wall into which the urine collects) or with neobladder (small intestine used to create a new urinary reservoir). Managing stoma is challenging for patients especially elderly, office goers which may sometimes cause leakage of urine and the smell making them to feel socially insecure.
In Neobladder Reconstruction, the terminal portion of the small intestine is reshaped as a urinary bladder retaining its blood supply and connected to the urethra. With adequate bladder training, the patient can be continent and pass urine at his/her will as a normal person giving him excellent quality of life.
Neobladder Reconstruction after Removal of Bladder (Radical Cystectomy) not only avoids a stoma but allows the patient to pass urine via naturalis. Our team is experienced in such procedures and has given patients a stoma free life with freedom from cancer.