What should you know about female radical cystectomy?

The surgical team removes the bladder and may remove nearby organs or lymph nodes according to the tumour’s location and spread. Because urine can no longer leave through the bladder, the operation includes a urinary diversion. Options may include a conduit leading to a stoma or a reconstructed reservoir; the team explains which option fits your body and circumstances.

The procedure affects urination and recovery, and it may affect sexual function, fertility or body image. A detailed discussion before surgery can cover these issues, continence, appliances, wound care and the support available after discharge.

Before surgery, ask about medicines, nutrition, smoking, mobility and the planned diversion. A stoma nurse can help you learn appliance care if a stoma is expected. Arrange practical support for washing, meals, transport and follow-up while strength returns.

After surgery, follow instructions for the diversion, wounds, activity and fluids. Seek help if managing urine drainage or appliances feels difficult. Treatment before or after surgery may be discussed, while intravesical BCG therapy is generally relevant to selected bladder-preserving situations rather than a replacement for every operation.

Contact the surgical team urgently for fever, worsening pain, repeated vomiting, a red or draining wound, very little urine, blocked drainage, new breathlessness or confusion. Sudden swelling or severe bleeding also needs immediate assessment.

Ask what will be removed, which urinary diversion is recommended, and how it will change daily routines. Ask about fertility and sexual health, lymph-node assessment, other treatment options, expected hospital care, warning signs and who to contact after discharge.