What is partial cystectomy?

Updated: Apr 03, 2019
  • Author: E Jason Abel, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Partial or segmental cystectomy is a bladder-preserving treatment that involves full-thickness surgical removal of the bladder tumor and surrounding bladder wall. [1]

Key points

See the list below:

  • Only 5.8-18.9% of patients with muscle-invasive bladder cancer are suitable candidates for partial cystectomy.

  • Partial cystectomy is indicated in the patient with a normally functioning bladder with good capacity and a solitary tumor located where a 1-cm to 2-cm resection margin is possible.

  • For high-risk tumors, a multimodal approach with neoadjuvant or adjuvant chemotherapy and possible radiotherapy may be needed.

  • Absolute contraindications include carcinoma in situ (CIS) elsewhere in the bladder and multifocal tumors.

  • After surgery, ongoing surveillance, including imaging, cystoscopy, and cytology, is important because the local recurrence rate is high (37-78%).

  • Patients who have undergone partial cystectomy for bladder cancer should have cystoscopy and urinary cytologic examination every 3 months for at least 2 years. Regular CT scans of the pelvis and abdomen are recommended in the first several years of follow-up.

  • With proper patient selection, long-term, bladder-sparing survival rates with partial cystectomy range from 35-70%.


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