Special Surgical Procedures II LESSON 3: Procedures in Genitourinary Surgery Section Iv: operations on the bladder and prostate
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3-25. CYSTECTOMY
a. General. This operation involves the total or radical excision of the urinary bladder. The extent and nature of the excision depends on the extent and nature of the pathological area. Total excision is usually carried out if the malignancy has not infiltrated the entire bladder or shown evidence of extension or distant metastasis and if the patient is in condition to withstand the procedure with hope of an appreciable period of relief. More conservative measures may be taken when the tumor is hopelessly advanced or when the pathological area is limited. If a radical procedure is to be done, combined abdominal and perineal approaches may be made.
b. Operative Procedure (Suprapubic Approach).
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