Cystectomy
Have you or a loved one been diagnosed with bladder cancer requiring surgical removal? Cystectomy in Tunisia is a major surgical procedure performed by experienced oncological urologists, using modern techniques (laparoscopy, robotics) and adapted urinary diversion options. With attractive prices starting from €5000, benefit from comprehensive and personalized care.
What is cystectomy?
Cystectomy is a surgical procedure that involves the total or partial removal of the bladder, the organ responsible for urine storage. This procedure is usually performed to treat invasive bladder cancer, congenital anomalies, recurrent infections or other severe bladder disorders.
- Partial cystectomy: Removal of part of the bladder (localized tumor)
- Radical cystectomy: Complete removal of the bladder, pelvic lymph nodes and adjacent organs (prostate, urethra)
- Performed by open, laparoscopic or robotic approach
When is cystectomy necessary?
Cystectomy is indicated for invasive bladder cancer, from stage T2. It is also recommended for recurrent high-grade non-invasive cancer after BCG treatment. Extensive precancerous lesions also justify this procedure. Severe chronic infections or fistulas may lead to it. Finally, congenital bladder anomalies are a possible indication.
What are the different types of cystectomy?
Partial cystectomy involves removing part of the bladder, thus preserving storage function. Radical cystectomy is the complete removal of the bladder, requiring urinary diversion. Laparoscopic cystectomy is a minimally invasive approach, offering faster recovery. Robotic cystectomy allows for greater precision and better visualization.
How is the surgery performed?
The procedure begins with general anesthesia to put the patient to sleep. The incision is made through open abdomen or laparoscopy. Bladder removal involves removing the organ and lymph nodes. A urinary diversion is created to establish a new evacuation route. Closure is done with sutures and drain placement. The surgery lasts 3 to 6 hours depending on complexity.
What are the urinary diversion options?
1. Bricker (ileostomy)
Bricker diversion involves creating a urinary stoma, an abdominal opening. A portion of the small intestine is used as a conduit. An external collection bag must be emptied regularly. This technique is simple and reliable.
2. Orthotopic neobladder
The neobladder involves creating a new bladder from the intestine. It is connected to the urethra to allow natural urination. Perineal rehabilitation is necessary after the procedure. This technique offers a better quality of life, without an external bag.
3. Continent cutaneous diversion
This technique uses an internal pouch with self-catheterization. The stoma is small and plugged by a catheter. It is an alternative for patients not eligible for neobladder.
What are the risks and possible complications?
Several complications can occur after cystectomy. Urinary, pulmonary or stoma infection is possible. Anastomotic leakage is a serious complication. Intestinal obstruction may also occur. Deep vein thrombosis should be monitored. Nerve damage can affect sexual function or continence. Finally, tumor recurrence remains a long-term risk.
What is the price of cystectomy in Tunisia?
Cystectomy in Tunisia is offered at very competitive prices. Our all-inclusive packages start from €5000. They include consultation with the oncological urologist and preoperative examinations such as CT scan, MRI and blood tests. The surgical procedure is covered, as well as urinary diversion by Bricker or neobladder. Hospitalization in a private room is planned for 7 to 14 days. Post-operative care, medications and education on stoma management are included in the package. Medical follow-up and control consultations are also provided. The indicative price ranges from €5,000 to €12,000 depending on the technique used. Do not hesitate to request your personalized quote.
Frequently asked questions about cystectomy
1Is cystectomy performed by laparoscopy or robotics in Tunisia?
Yes, cystectomy is performed by open, laparoscopic or robotic approach in our clinics. Robotic technique allows for better precision and faster recovery, but its indication depends on the case and the surgeon's experience.
2What are the alternatives to definitive urinary diversion?
Alternatives include orthotopic neobladder (bladder reconstruction from intestine) for eligible patients, and continent urinary diversions (internal pouch with self-catheterization). The choice depends on cancer stage, age and patient preferences.
3What is the average hospital stay after cystectomy?
Hospitalization lasts on average 7 to 14 days depending on the type of urinary diversion and post-operative recovery. Longer stays are necessary in case of complications or learning stoma management.
4Does cystectomy affect sexual function?
Radical cystectomy can cause erectile dysfunction in men and lubrication disorders in women due to nerve damage. Nerve-sparing techniques may be offered depending on the case, and rehabilitation or medication solutions exist.
5Can normal continence be maintained after neobladder?
Daytime continence is achieved in 80 to 90% of patients with a neobladder. Nocturnal continence is lower (60 to 70%) and may require protection. Perineal rehabilitation is essential to optimize results.
6What are the signs of complications to watch for after cystectomy?
Warning signs include persistent fever, severe abdominal pain, absence of bowel movement recovery, urinary leakage from drains or stoma, redness or discharge from the incision site, and signs of dehydration.
7Is cystectomy indicated for non-invasive bladder cancers?
No, cystectomy is reserved for invasive cancers (stage T2 and above) or recurrent high-grade tumors after BCG therapy. Non-invasive cancers are treated by endoscopic resection and intravesical instillations.
Why choose Tunisia for cystectomy?
Our oncological urologists are experienced and trained in Europe. They use modern techniques such as laparoscopy and robotics. Our prices are competitive, up to 60% cheaper than in Europe. Care is rapid, with surgery scheduled within 1 to 2 weeks. Personalized support is provided, including medical follow-up and therapeutic education.
In conclusion
Cystectomy is a major procedure that effectively treats invasive bladder cancer. In Tunisia, Tunisie Esthetic offers you quality care, performed by experienced oncological urologists, with modern techniques and competitive prices. Do not hesitate to contact us for a personalized quote.