Cystectomy is a surgical procedure to remove all or part of the bladder. Cystectomy is most often used to treat bladder cancer.

Cystectomy may be used to treat:

  • Cancer that begins in the bladder or that begins nearby and grows to involve the bladder
  • Birth defects that affect the urinary system
  • Traumatic injuries to the bladder
  • Neurological disorders that affect the urinary system

Cystectomy is a complex procedure and surgeons may use different techniques to perform it, such as:

  • Open surgery, which requires one long incision to access the bladder
  • Minimally invasive surgery, which involves several small incisions where special surgical tools are inserted to access the bladder
  • Robotic surgery, which is a type of minimally invasive procedure in which the surgeon sits at a console and remotely operates the surgical tools

If your bladder is removed completely, surgeons work to reconstruct the urinary tract in order to allow urine to leave your body. Several options exist:

  • Urinary conduit (ileal conduit or urostomy). During this procedure, the surgeon uses a piece of your intestine to create a tube that runs from your kidneys to your abdominal wall. A bag you wear on your abdomen collects the urine.
  • Cutaneous continent urinary diversion (Indiana pouch). During this procedure the surgeon uses a piece of your intestine to create a tube that runs from your kidneys to a small reservoir that's attached to the inside of your abdominal wall. You use a catheter to empty the reservoir through your bellybutton several times a day.
  • Orthotopic continent urinary diversion (neobladder). During this procedure the surgeon uses a piece of your intestine to create a tube that runs from your kidneys to a small reservoir that allows you to urinate through your urethra in a relatively normal fashion.

What type of cystectomy and reconstruction you undergo depends on several factors, such as the reason for your surgery, your overall health and your preferences. Discuss your options with your surgeon to determine which procedures are right for you.

  • Collaboration. At Mayo Clinic, urologists work with a variety of specialists as a multidisciplinary team to provide whole-person care for people considering cystectomy. Which professionals are included in your care will depend on your particular situation.
  • Experience. Mayo Clinic surgeons have extensive experience performing cystectomy. Each year, Mayo Clinic doctors complete more than 200 cystectomy procedures.
  • Expertise. Cystectomy and the reconstruction that follows are complex procedures that require highly skilled and extensively trained surgeons. Mayo Clinic doctors have pioneered many of the cystectomy techniques, including robotic and minimally invasive approaches.

    Mayo Clinic doctors have the training and expertise needed to provide you with exactly the care you need.

  • Access to the latest. Mayo Clinic doctors have access to the latest surgical equipment and training in the latest techniques, such as robotic surgery, that are designed to speed your recovery and improve your quality of life.
  • Comprehensive cancer center. Mayo Clinic Cancer Center meets strict standards for a National Cancer Institute comprehensive cancer center, which recognizes scientific excellence and a multidisciplinary approach to cancer prevention, diagnosis and treatment.

Mayo Clinic in Rochester, Minn., and Mayo Clinic in Scottsdale, Ariz., are ranked among the Best Hospitals for urology by U.S. News & World Report. Mayo Clinic in Jacksonville, Fla., is ranked high performing for urology by U.S. News & World Report.

At Mayo Clinic, we assemble a team of specialists who take the time to listen and thoroughly understand your health issues and concerns. We tailor the care you receive to your personal health care needs. You can trust our specialists to collaborate and offer you the best possible outcomes, safety and service.

Mayo Clinic is a not-for-profit medical institution that reinvests all earnings into improving medical practice, research and education. We're constantly involved in innovation and medical research, finding solutions to improve your care and quality of life. Your doctor or someone on your medical team is likely involved in research related to your condition.

Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of their visits mean health care — and trusted answers — like they've never experienced.

Why Choose Mayo Clinic

What Sets Mayo Clinic Apart

Mayo Clinic urologic surgeons have extensive experience performing cystectomy and urinary tract reconstruction for people with bladder cancer and other conditions.

If you're considering cystectomy, your Mayo Clinic treatment team will conduct extensive testing and consultations to understand your condition and your needs in order to recommend the most appropriate treatment for you.

At Mayo Clinic, you have access to a variety of procedures and treatments. When combined with the expertise of Mayo Clinic specialists, this ensures you will receive exactly the care you need.

Cystectomy procedures and reconstruction procedures used at Mayo Clinic include:

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people. In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Specialists in urology form a multidisciplinary team with other experts to provide whole-person care for people considering cystectomy.

For appointments or more information, call the Central Appointment Office at 800-446-2279 (toll-free) 8 a.m. to 5 p.m. Mountain Standard Time, Monday through Friday or complete an online appointment request form.

Specialists in urology form a multidisciplinary team with other experts to provide whole-person care for people considering cystectomy.

For appointments or more information, call the Central Appointment Office at 904-953-0853 8 a.m. to 5 p.m. Eastern time, Monday through Friday or complete an online appointment request form.

Specialists in urology form a multidisciplinary team with other experts to provide whole-person care for people considering cystectomy.

For appointments or more information, call the Central Appointment Office at 507-538-3270 7 a.m. to 6 p.m. Central time, Monday through Friday or complete an online appointment request form.

See information on patient services at the three Mayo Clinic locations, including transportation options and lodging.

Mayo Clinic doctors and scientists are studying ways to improve outcomes and quality of life for people undergoing cystectomy. Learn more about urology research.

Researchers are also studying ways to improve bladder cancer diagnosis and treatment. Cancer research is conducted in coordination with the Mayo Clinic Cancer Center. The Mayo Clinic Cancer Center receives funding from the National Cancer Institute and is designated as a comprehensive cancer center — recognition for an institution's scientific excellence and multidisciplinary resources focused on cancer prevention, diagnosis and treatment.

Publications

See a list of publications by Mayo Clinic authors on cystectomy on PubMed, a service of the National Library of Medicine.

Sep. 03, 2014