Removal of bladder and anus
This is an operation to remove all or part of your bladder. You have this operation whilst you are asleep general anaesthetic. In men, the surgeon also removes the prostate gland and glands that store semen seminal vesicles. This is because bladder cancer can come back in this area. In women, the surgeon usually removes the womb and fallopian tubes. You may also have part of your bowel removed.
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Anderson Cancer Center, Houston, Texas. Extirpative procedures for advanced colorectal cancers can involve multivisceral pelvic resections. In patients without evidence of distant metastatic disease, a reasonable therapeutic effect can be expected when negative surgical margins are obtained. For patients with bladder involvement, the decision to perform a bladder-sparing procedure or a total pelvic exenteration will be based on the extent of the primary lesion as well as patient characteristics. In this article, the authors describe bladder-sparing techniques with and without enterocystoplasty as well as options for urinary diversion in patients requiring total pelvic exenteration. Contraindications and clinical decision making regarding bladder reconstruction or replacement are discussed.
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Bladder cancer is unfortunately not uncommon. One of the common symptoms of bladder cancer is blood in the urine. The bleeding is not usually painful and can come and go. There can be a burning feeling when you go to the toilet and you may need to go more frequently than usual or may need to pass urine very urgently.
A pelvic exenteration is surgery that may be done to treat advanced cancer that has not spread outside the pelvis or cancer that has come back in the pelvis only. It is done only if there are no signs of cancer in another place in the body. A pelvic exenteration may be done to treat: cancers of the female reproductive organs including cancer in the cervix, uterus, ovary, vagina and vulva cancer that has spread from the colon or rectum to nearby organs cancer that has come back in the pelvis after being treated with radiation therapy.