Pelvic exenteration is a surgical procedure that involves the removal of the bladder and/or part of the lower bowel along with internal reproductive organsto treat advanced or recurrent cancers. The 3 different types of pelvic exenteration include:
Pelvic exenteration is a 2-stage procedure performed under general anesthesia. The first stage involves the resection of the organs. Your doctor makes an incision from your lower abdomen to pelvis. A thorough examination of the pelvic region and surrounding lymph nodes are performed to identify cancerous growth. Tissue samples may also be sent to the laboratory for testing. Based on these test results and extent of damage to the surrounding organs, the bladder and/or bowel is removed along with other reproductive organs, their lymph nodes and other supporting tissues.
The second stage involves the reconstruction and restoration of urinary and bowel function. With the removal of the bladder, your surgeon needs to create a new place for the storage and elimination of urine. Urostomy is performed, where a pouch is created from a section of the intestine and connected to the abdominal wall. Urine can be regularly drained through a catheter (narrow tube). A colostomy may also be necessary if the rectum was removed. Your surgeon attaches the end of the intestine to an opening in the abdominal wall through which the stools can pass into a bag at the front of the abdomen.
As with all surgeries pelvic exenteration may also involve risks such as infections, bleeding, blood clots in the legs, formation of fistula in the remaining urinary tract, lung infections and fluid accumulation in the lungs.
NMC UroCareoffers experienced urologists to provide you with the latest urological treatments. For further information regarding pelvic exenteration, please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/