What is the difference between partial and radical cystectomies?

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

Initial transurethral resection of bladder tumor (TURBT) is essential for adequate staging in order to make an informed decision about future therapy. In general, partial cystectomy involves removing the segment of diseased bladder and repairing the defect with or without performing pelvic lymph node dissection. Radical cystectomy involves removal of the bladder, prostate and seminal vesicles in men. In women, along with the bladder, the urethra, uterus, broad ligaments, and anterior third of the vaginal wall may be removed. Pelvic lymphadenectomy is performed and a urinary diversion is created which may include ileal conduit, neobladder or continent pouch. The remainder of this article discusses details for partial cystectomy only.


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