What is the role of radical cystoprostatectomy in the treatment of bladder cancer?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Cystoprostatectomy involves removal of the bladder, peritoneal covering, perivesical fat, , prostate, seminal vesicles, vasa deferentia, and, sometimes, the membranous or entire urethra. Total urethrectomy is rarely performed concomitantly for primary cancer of the bladder in the male since the vast majority of cases a negative urethral margin can be achieved. Those with a positive urethral margin on final pathology can be considered for a delayed urethrectomy. [80]


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