How is Cystectomy Surgery Performed : Before, During and After
Proper care before, during, and after cystectomy helps ensure a safe procedure and smooth recovery. Each stage focuses on preparing the patient for surgery, maintaining safety during the operation, and supporting healing after the procedure.
Pre-operative Care
Before undergoing cystectomy, patients undergo a comprehensive medical evaluation to determine surgical suitability. This usually includes blood tests, urine analysis, imaging studies such as CT scans or MRI, and a detailed review of the patient’s medical history and current medications. Doctors may advise stopping certain medications, like blood thinners, several days before surgery to reduce the risk of bleeding. Patients are also given instructions regarding fasting, bowel preparation if required, and lifestyle adjustments such as quitting smoking. In addition, the surgical team explains the procedure, possible risks, and the type of urinary diversion that may be performed after bladder removal.
Intra-operative Care
Cystectomy is performed under general anaesthesia by a specialised surgical team. The surgeon removes either part of the bladder (partial cystectomy) or the entire bladder (radical cystectomy), depending on the extent of disease. In some cases, nearby lymph nodes and surrounding organs may also be removed to prevent the spread of cancer. After bladder removal, a urinary diversion procedure—such as an ileal conduit, continent urinary reservoir, or neobladder—is created to allow urine to exit the body. Throughout the operation, the patient’s vital signs, including heart rate, blood pressure, oxygen levels, and fluid balance, are continuously monitored to maintain safety and stability.
Post-operative Care
After surgery, patients are transferred to a recovery room or intensive care unit for close monitoring. Pain management, wound care, and infection prevention are important aspects of the recovery process. Patients may have temporary tubes or catheters to help drain urine and fluids while the body heals. Early mobilisation and breathing exercises are encouraged to reduce the risk of complications such as blood clots or lung infections. Doctors also provide guidance on diet, hydration, and care of the urinary diversion. Regular follow-up visits are necessary to monitor healing, assess urinary function, and ensure overall recovery and long-term health.