Cancer surgery and treatment
Cystectomy and urinary diversion
Updated: 3 October 2026
My pathway: before, during, after
01Indications
Treat selected invasive bladder cancers or very high-risk disease.
02Preparation
Full assessment, nutrition and anaesthesia; choose and prepare for diversion care. Discuss sexual and reproductive effects.
03What happens
The bladder is removed and a new urine outlet is made, through a stoma or a reservoir in selected cases.
04Follow-up
Rehabilitation, practical care training and long-term kidney, metabolic and cancer follow-up.
05Expected results
Aims to control cancer with a new way to drain urine.
06Risks and limitations
Major surgery: infection, thrombosis, bowel complications, sexual changes and diversion-related complications.
Questions for your consultation
- Why this procedure rather than another option?
- What benefit should I expect in my case?
- When can I resume activities and whom should I contact if problems occur?
Medical references
These guides describe treatment options without implying that every technique is offered at the practice. Indications, anaesthesia and recovery are individualised.
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