the layer of fat surrounding the bladder are removed. For those born female, the uterus, fallopian tubes, and sometimes the ovaries and part of the vagina may also be removed. For those born male, the prostate, seminal vesicles, and part of the urethra may be removed.
Urinary diversion procedures: If you have a condition such as Crohn’s disease or ulcerative colitis, or have had tradition to your bowl, you may need urinary diversion to remove a section of the intestine.
How to prepare for surgery
Before your surgery (especially a cystectomy and urinary diversion), your healthcare provider will make sure you are healthy enough for surgery and an anesthetic through the following:
- Reviewing your medications (Blood thinners or aspirin, for instance, may need to be stopped for a period of time.)
- Blood tests to check on your kidney function as well as electrolytes
- Pulmonary function tests if you have lung disease
- An ECG, echocardiogram, or stress test if you have heart disease (and ECG is often done routinely for people over the age of 50)
If you are undergoing TURBT, you will need a urinalysis to ensure your urine is clear of white blood cells prior to your surgery.
If you are having urinary diversion surgery, you will be asked to do a bowel prep similar to one you may do for a colonoscopy beginning at least a day before surgery. This is similar to the procedure done prior to having a colonoscopy.
Navigating bladder cancer can be tricky, but with the right care and the help of your healthcare provider, you can find the best surgical procedure for your condition and lead a healthy life