Bladder Cancer Treatment & Surgery
Approach to Treatment
Houston Methodist’s specialists treat bladder cancer from early-stage to advanced disease. We use innovative diagnostic and surveillance tools and perform minimally invasive robotic bladder cancer procedures, including robotic assisted radical cystectomy. Our experts are among the best nationwide in treating bladder cancer, and we are among few centers that perform entire bladder removals and urinary reconstructions robotically.
We specialize in advanced, or muscle-invasive, bladder cancer, and our minimally invasive approaches decrease pain and complications, so you can recover more quickly. Our specialists use enhanced recovery techniques to reduce pain, as well as complications, and get you back to work and activities sooner.
Specialists, including urologic oncologists, radiation and medical oncologists, collaborate to ensure each patient receives exceptional and personalized care.
Treatment & Surgery
- Transurethral resection of bladder tumor (TURBT) – used for early-stage or superficial bladder cancer. A resectoscope, a thin tool with a wire loop on the end, is threaded through the urethra to the bladder. It removes the tumor from the bladder wall
- Cystectomy – bladder removal, which usually is performed for more advanced bladder cancer. Lymph nodes near the bladder in the pelvis also are removed. The prostate is removed in men. In women, the uterus, cervix, part of the vagina, ovaries and fallopian tubes are removed. Depending on your cancer and age, a reproductive organ-sparing approach may be possible
- Urinary Reconstruction Surgery
- Ileal neobladder – part of the ileum (small intestine) is used to make a new bladder, allowing for more normal urination
- Ileal conduit – a piece of small intestine is used to create a so-called pipe connecting the ureters to the surface of the skin. Urine drains into a urostomy bag outside the body
- Continent reservoir – small and large intestines are used to create an internal pouch connected to the navel. A catheter is used to drain the pouch every few hours
- Radiation therapy