What type of anesthesia is used for cystectomy?

General anesthesia. The procedure is usually performed under general anesthesia due to the length to complete the procedure, although epidural anesthesia with sedation is another option for open cystectomy and urinary diversion.

What should I do after cystectomy?

It takes approximately 6 weeks for the surgical area to heal completely. Please do not do any heavy lifting, strenuous exercises, or excessive stair climbing during this time. You may drive a car 3 to 4 weeks after surgery if you feel well and are not taking any more prescription pain medications.

How is regional Anaesthesia given?

For regional anesthesia, an anesthetic is injected close to a nerve, a bundle of nerves, or the spinal cord. In rare cases, nerve damage can cause persistent numbness, weakness, or pain. Regional anesthesia also carries the risk of systemic toxicity if the anesthetic is absorbed through the bloodstream into the body.

What are the indications for cystectomy?

Cystectomy is done for the following conditions: Cancers, which include: Bladder cancer that invades the muscle but remains confined to the bladder. Other pelvic cancers, such as advanced colon, prostate or endometrial cancer where the bladder is removed along with other organs.

Is anesthesia required for stent removal?

Since no intravenous line is inserted and there is no anesthesia, you do not have to be accompanied by anyone else and you can eat normally before and after the procedure. For those patients who prefer having the stent removed under IV sedation, arrangements must be made for post-operative patient transportation.

What additional procedure must be done with a radical cystectomy?

If radical cystectomy is performed, your surgeon will reconstruct the urinary tract in one of three ways so that the urine you produce can be eliminated from your body. These methods include: Ileal conduit: Your surgeon disconnects a short portion of your small intestine called the ileum.

How long does pain last after radical cystectomy?

After surgery, your belly will be sore. You will probably need pain medicine for 1 to 2 weeks. You can expect your urostomy (stoma) to be swollen and tender at first. This usually improves after 2 to 3 weeks.

What is the primary disadvantage of regional anesthesia?

The disadvantages of regional anesthesia include hypotension, intraoperative discomfort, post-lumbar-puncture headache and the potential for neurologic and cardiac toxicity from local anesthetics.

Is regional anesthesia injection painful?

Background: Local anesthetic injection is often cited in literature as the most painful part of minor procedures. It is also very possible for all doctors to get better at giving local anesthesia with less pain for patients.

What is radical cystectomy?

Cystectomy (sis-TEK-tuh-me) is a surgery to remove the urinary bladder. In men, removing the entire bladder (radical cystectomy) typically includes removal of the prostate and seminal vesicles. In women, radical cystectomy also involves removal of the uterus, ovaries and part of the vagina.

When to use epidural for radical prostatectomy?

Typically, it is offered in combination with general anesthesia to patients undergoing radical prostatectomy. When an epidural is used, it is usually inserted preoperatively at a low thoracic level ( e.g. , T11–T12), and a preemptive dose of local anesthetic is given before the surgical incision.

When did I have an open radical prostatectomy?

In a retrospective review of medical records, patients with invasive prostatic carcinoma who underwent open radical prostatectomy between January 1994 and December 2003 and had either general anesthesia-epidural analgesia or general anesthesia-opioid analgesia were evaluated through October 2006.

Can a prostate cancer recurrence be treated with general anesthesia?

Therefore, the authors evaluated prostate cancer recurrence in patients who received either general anesthesia with epidural anesthesia/analgesia or general anesthesia with postoperative opioid analgesia.

Which is better open prostatectomy or general anesthesia?

Open prostatectomy surgery with general anesthesia, substituting epidural analgesia for postoperative opioids, was associated with substantially less risk of biochemical cancer recurrence. Prospective randomized trials to evaluate this association seem warranted.