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The main concern with this type of surgery is that bladder cancer can still recur in another part of the bladder wall.Radical cystectomy: If the cancer is larger or is in more than one part of the bladder, a radical cystectomy will be needed.You can usually return home the same day or the next day and can resume your usual activities within a week or two.Even if the TURBT removes the tumor completely, bladder cancer often comes back (recurs) in other parts of the bladder. But if TURBT needs to be repeated many times, the bladder can become scarred and lose its capacity to hold much urine.Any remaining cancer may be treated by fulguration (burning the base of the tumor) while looking at it with the cystoscope.
But the remaining bladder may not hold as much urine, which means they will have to urinate more often.
The removed tissue is sent to a lab to be looked at by a pathologist.
After the tumor is removed, more steps may be taken to try to ensure that it has been destroyed completely.
It is important that any type of cystectomy be done by a surgeon with experience in treating bladder cancer.
If the surgery is not done well, the cancer is more likely to come back.
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This is known as laparoscopic, or “keyhole” surgery.