Bladder Removal with Urinary Diversion Surgery

In this procedure, the provider surgically removes the entire urinary bladder including extensive removal of bilateral pelvic lymph nodes, including external iliac, hypogastric, and obturator nodes. To maintain the outflow of urine the provider may create a ureteroileal conduit. In this procedure, the provider cuts a portion of the intestine known as ileum, sutures the ureters to divert urine into it, and connects the other end to the abdominal wall to create an external opening for outflow of urine. As an alternative approach to maintaining the outflow of urine, the provider may choose to create a sigmoid bladder. In this procedure, the provider replaces the bladder with a U or J shaped segment of sigmoid colon. The provider sutures the ureters onto this. The provider connects the newly made sigmoid bladder to the urethra for outflow of urine. The provider then sutures the cut ends of the intestine together to reestablish bowel continuity. The provider primarily performs these procedures to facilitate urine excretion following surgical removal of the urinary bladder due to malignancy. Choose a location to see hospital-reported price summaries. This page does not show national, sample, or aggregate pricing.