Cystectomy




A Cystectomy




1. Introduction

The bladder is usually removed for cancer but may also be removed for severe hemorrhagic or radiation cystitis. In a radical cystectomy for invasive cancer in women, the uterus, fallopian tubes, ovaries, and a portion of the vaginal wall are removed. In men, the ampulla of the vas deferens, prostate, and seminal vesicles are removed. There is also pelvic lymph node dissection, and a urinary diversion is created (through the intestine).



2. Preoperative assessment
a) Cardiac, respiratory, neurologic, and endocrine systems: Assessment is routine.

b) Renal: Gross hematuria may be a symptom. Check renal function tests as well as evidence of a urinary tract infection.

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Dec 2, 2016 | Posted by in ANESTHESIA | Comments Off on Cystectomy

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