Surgery for bladder cancer in Israelbladder cancer surgery used in the treatment of most types of this disease. Choice is due to stage.

In Israel there are several ways to receive treatment for bladder cancer:

  1. Medical tourism and treatment without intermediaries - pros and cons

  2. Public and private clinics of Israel - how do you choose a foreign patient?

Each option has its advantages. We will help you determine:

Turning to the services of our company, medical service «Tlv.Hospital» (with an experience of over 10 years), you will receive highly professional treatment. We will select the best specialist and the clinic, where they can help the most. We solve all the difficulties associated with living, my dear, not knowing the language and so on. Treatment will be organized as soon as possible at an acceptable cost.

Surgery for bladder cancer - transurethral resection

For the initial phase of illness or surface forms of this type of cancer by transurethral resection (TUR)is the most common method of treatment in clinics in Israel. In most cases it is used as aprimary treatment at the mentioned indications.

This operation in bladder cancer is performed by rigid cystoscope, which is called a resectoscope. It is introduced through the urethra into the bladder. Use general or regional (spinal) anesthesia.

Resectoscope has at the end of the wire loop to remove any abnormal tissue or tumors. Resected tissue is then sent to a laboratory for further study.

After the tumor was resected, additional steps are taken to ensure that the disease will be completely destroyed. To combat the remaining cells may apply an electric current or a high-energy laser, which is introduced through the cystoscope.

Side effects of transurethral surgery of the bladder, usually quite mild, and generally their effects short-lived. There have been minor bleeding and pain during urination after surgery for bladder cancer. Usually, the patient can return home the same day or the next, to the usual activities, he returned in less than 2 weeks.

Even after effective treatment there are frequent recurrences of the disease, the formation of tumors in other body parts. Under repeated TUR bladder appear scars, he loses the ability to hold urine. The consequences could be urinary incontinence and frequent urination.

In the treatment of patients who develop recurrent non-invasive, low-grade tumors, apply electrical current during cystoscopy using local anesthesia.

Bladder Cancer - cystectomy surgery in Israel

When cancer is invasive bladder produce removal of part or all of the entire organ. This operation is called acystectomy .

partial cystectomy

If the tumor is struck muscle, but not very large, and in only one place, sometimes it can extract together with a part of the bladder wall, then closing the opening arisen. Nearby lymph nodes are also removed and examined for the presence of malignant cells. Only a small percentage of people with the disease can be carried out such surgery. Typically, an indication is adenocarcinoma of the bladder.

The main advantage of this operation for bladder cancer is that there is still the organ itself, does not require reconstructive surgery. However, most likely, a consequence of surgical intervention will become more frequent urination due to the reduced volume of the organ. The main problem will be to relapse probability, possibility of occurrence of tumors in other parts of the bladder wall.

Radical cystectomy with extended lymph node dissection

If the tumor is large or malignant cells are found in more than one part of the body, carried out radical cystectomy with extended lymph node dissection. This surgery for bladder cancer, during which completely removed the diseased organ and nearby lymph nodes. Men also resected prostate, women - the ovaries, fallopian tubes, uterus, and a small portion of the vagina.

For any type of cystectomy is used general anesthesia.

Most often, these procedures are performed through an incision in the abdomen - abdominal surgery is performed. Thereafter, the patient is in the hospital for about a week. The total recovery period takes between four to six weeks.

In some cases, apply a laparoscopic approach. The surgeon operates through several small incisions using special long and thin tools, one of which is provided with a video camera on the end in order to see the inner surface of the abdominal cavity.

This type of surgery for bladder cancer may also be carried out by robotic equipment - Da Vinci robot. Laparoscopic surgery reduces pain and allows more rapid recovery through a small incision. However, due to the fact that it applies not such a long time, it is not yet clear whether the laparoscopy in this case is as effective as the standard operation.

It is imperative that any type of spent cystectomy surgeon with experience in the treatment of this disease. If surgery for bladder cancer will not be performed properly, there is a high likelihood of relapse.

When the disease has gained widespread character, and the tumor can not be removed by surgery, the bladder is maintained. The aim in this case become the prevention or removal of blocking the flow of urine.

Reconstructive surgery after radical cystectomy in Israel

If the bladder is removed, there is a need to find another way to store and excretion of urine from the body. The choiceof reconstructive surgery for bladder cancer affects medical situation and personal preferences.

urostomy

Removed part of the small intestine (the ileum) and connects to the ureters. It creates a passage known as kondiut through which urine from the kidneys through the ureters comes to the skin surface. In the anterior abdominal wall surgeon forms a urostomy, which connects conduit.

After this procedure, there is a need in the drainage bag for collecting urine, which will be constantly go in small amounts, since it is no longer controlled flow body.

orthotopic bladder

The operation has two versions, will review them:

  1. This option allows you to coordinate the flow of urine. From the part of the small intestine is created tank provided with a valve, and connected to the ureters. Through his urine is retained in the body and there is a possibility of random urination. Several times a day (4-5) in the emptying urostomy catheter. Some people prefer this method because there is no need for an external urinal.
  2. This method involves the recovery of urination and excretion of urine through the urethra. This operation is not suitable for all patients. The prerequisites are the following factors: low risk of recurrence, no destruction of malignant cells of the urethra, a healthy gut. The bladder is formed from a bowel, connected on one side to the ureters, the other - to the urethra. Within a few months, most people recover the ability to urinate during the day, although many may experience incontinence at night.

Recto-sigmoid urinary diversion

If the cancer has struck the urethra, or is close to it, you can organize the excretion of urine through the rectum as stool. In this case there is no need for an external urine collection bag or the application of the catheter to drain urine. The process of urination performed every 2-3 hours. At the same time there is a high risk of kidney infections.

The spectrum of operations carried out in bladder cancer in Israel is very wide. In some cases, successfully used a minimally invasive approach - laparoscopic and robotic surgery using the Da Vinci robot, reducing the risk of complications and reducing the recovery period. In any case, Israeli surgeons to successfully carry out reconstructive surgery, the choice of which determines the specific case of the disease and the patient's personal wishes.

Side effects cystectomy

Cystectomy - a painful surgery for bladder cancer, respectively, complications and side effects can be quite severe. Short-term risks include a reaction to anesthesia, excessive bleeding, blood clots and infection. Most people have pain after the surgery, which usually help cope drugs if it becomes necessary.

Possible side effects related to urinary elimination process of the body and urostomy, include infections, incontinence, blocking its flow.

Radical cystectomy can also have undesirable consequences of sex. Occurring physical changes have a significant emotional and psychological impact. It is important to discuss your feelings and concerns with a medical team.

Sexual side effects after radical cystectomy in women

During the operation for bladder cancer is often carried out the removal of the front part of the vagina that causes sex less comfortable for some women, although the possibility of sexual intercourse is maintained. There is an option vaginal reconstruction. This question is important to discuss with the surgeon, its pros and cons. If the recovery is not considered, there are many ways to make sex comfortable Bole.

Radical cystectomy can also affect a woman's ability to have an orgasm because there is a possibility of damage of nerve fibers running along each side of the vagina. Should discuss with your doctor the ability to save the nerves during surgery for bladder cancer. Sparing surgery to restore bladder and remove the tumor carriesLeon Agulyansky. The doctor is also engaged in patients with prostate cancer.

If the removed end of the urethra, the blood supply to the clitoris is partially lost, which affects subsequently to sexual stimulation. It is important to discuss this issue with the surgeon to try to save the final part of the urethra.

Sexual effects of radical cystectomy in men

During this operation, bladder cancer removed prostate and seminal vesicles. Since these glands produce most of the seminal fluid, their removal means that more sperm will not synthesized in the body. The possibility of orgasm remains, but without ejaculation.

After surgery, the risk of nerve damage that affects the ability of erection for bladder cancer. In some men, the condition is improving over time. As a general rule, the younger the person, the greater the chance of recovery. This question can also be discussed with a doctor prior to surgery. New surgical techniques may reduce the risk of impotence.

Employees «Tlv.Hospital» focal point to help in the organization of surgical treatment of malignant tumors of the bladder in Israel, in the selection of clinics and doctors who provide full support during their stay in the country to achieve the best results and gain health.

Consultations with video online a leading Israeli experts: about the benefits of online video Consultation.