Cystectomy and Substitution Cystoplasty with Particular Reference to Bladder Cancer

Abstract

There are certain conditions such as the small contracted bladder, caused by diseases such as interstitial cystitis, post-radiotherapy cystitis and tuberculosis, and the more severe examples of detrusor dysfunction in which the bladder dysfunction is so severe that a urinary diversion may be considered. Equally, in bladder cancer the need for cystectomy to control the disease makes a diversion seem a necessity. In fact it is almost always possible, in all of these situations, to remove the diseased bladder (where indicated) and restore continent urethral voiding using current surgical techniques.