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Doctor insights on: Bladder Cystectomy

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Chemotherapy after bladder radical cystectomy needed?

Chemotherapy after bladder radical cystectomy needed?

Perhaps: Chemotherapy following bladder cancer removed by radical cystectomy may be advised depending on the stage of the cancer. A deeply invasive cancer, or a cancer with lymph nodes involved may be treated post-operatively with chemotherapy if chemotherapy was not used preoperatively. ...Read more

Bladder (Definition)

The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more


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Postmenopausal laparoscopic oophorectomy dermoid cyst?

Postmenopausal laparoscopic oophorectomy dermoid cyst?

For postmenopausal:: I would recommend oophorectomy in a postmenopausal patient, due to the (small, but possible) risk of a malignancy. While the most common type of dermoids are benign, they can be some that are malignant, and in a menopausal female i would recommend oophorectomy instead of cystectomy, to ensure that the tumor is removed entirely. For a premenopausal patient i would recommend cystectomy. ...Read more

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Infection in bellybutton after gall bladder removal?

Infection in bellybutton after gall bladder removal?

See your surgeon: Wound infections after surgery need to be evaluated by the surgeon, may need open wound packing, and will likely need antibiotics to prevent worsening or spreading of the infection. ...Read more

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Sphincter of ode after gall bladder surgery?

Sphincter of ode after gall bladder surgery?

Please Clarify: The sphincter of oddi is a normal anatomic structure at the point where the bile duct enters the intestine (see duodenal papilla on pic above). Dysfunction of the sphincter, though very rare, can simulate gallbladder-type pain & is a possible explanation for ongoing pain despite gb removal. This can be diagnosed by endoscopic testing & treated by cutting the sphincter. ...Read more

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Kidney and bladder stent removal painful?

Kidney and bladder stent removal painful?

Very briefly.: An indwelling ureteral stent is removed in one of two ways. A quick pull on a little string to pull it out of the urethra, or by using a flexible scope to enter the bladder and pulling out the stent with forceps. Both can cause bladder discomfort and some flank pain as it is quickly removed. Some residual pain can linger for a day or two. Pain can be variable with many feeling no pain. ...Read more

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What are gall bladder surgery and gall bladder flush?

What are gall bladder surgery and gall bladder flush?

Lap chole: Gall bladder surgery is usually a very common proceedure called a laparoscopic cholecystectomy in which a surgeon places 3 - 4 tiny holes in your abdomen to remove the offending organ. It is outpatient, you go home the same day and usually return to work in 1 - 3 weeks. It has been done safely since the early 90's. I am not familiar with a gall bladder flush. ...Read more

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Question about bladder cancer, is bladder removed?

Question about bladder cancer, is bladder removed?

Depends on depth: Superficial bladder cancer may be treated with resection, instillation of BCG in the bladder. However, if the tumor invades the muscle or involves certain areas of the bladder, resection/removal of the bladder may be required. ...Read more

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Gall bladder symptoms?

Gall bladder symptoms?

Pain: Right upper quadrant pain. Pain after eating fatty foods. Occasionally nausea and vomiting. ...Read more

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Post void incontinence, ultrasound bladder,kidney and prostate normal, after voiding showed bladder empty normal, awaiting uroflowmetry resul,concern?

Post void incontinence, ultrasound bladder,kidney and prostate normal, after voiding showed bladder empty normal, awaiting uroflowmetry resul,concern?

Here are some ...: For postvoid incontinence, I assumed you have so-called postvoid dribbling after you ripped in the penis into underwaer, which is indeed very annoying. You may try correctly milking the entirely urethra after each voiding by wiping the urethra x 3-4 times from the area behind scrotum toward the end of penis until "dryness" before zipping in the penis. Do this first. Due to 400-letter limit, end .. ...Read more

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Gall bladder stone 16mm operation ?

Gallstone: Just the presence of a gallstone on a study in and of itself is not an indication for surgery. Symptoms of recurrent upper abdominal discomfort with gas bloating & nausea after eating, painful yellow jaundice, recurrent vomiting after eating, abnormal liver blood tests; each can be an indication for surgery. Discuss and review your symptoms with your doctor. ...Read more

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Dr. John Fung Dr. Fung
2 doctors agreed:
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Is urinating frequently after gall bladder surgery normal?

Dr. John Fung Dr. Fung
2 doctors agreed:
Is urinating frequently after gall bladder surgery normal?

depends: Some increased urination after surgery may simply reflect excess fluid elimination, or irritation from the foley catheter. However if the increased urination is persistent or associated with burning, you should have your physician make sure that there is not a urinary tract infection. ...Read more

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Define transurethral resection of bladder neck?

Define transurethral resection of bladder neck?

Bladder neck incisio: Transurethral resection of the bladder neck ( TURBN ) should be a bladder neck incision in most all cases. It is often indicated for patients for symptoms of BPH with a small prostate gland. If a formal resection is done bladder neck scarring may occur. Sometimes TURBN is done for bladder neck contractures and should be best performed as an incision. ...Read more

Dr. Chris Oh Dr. Oh
7 doctors agreed:
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Gall stone in gall bladder?

Dr. Chris Oh Dr. Oh
7 doctors agreed:
Gall stone in gall bladder?

Right upper abd pain: Gallstones can cause no symptoms or pain in the upper abd especially when eating fatty food. Go to your doc for referral for ultrasound. If you have symptomatic gallstones you may need to see a surgeon for gall bladder removal. Untreated, it can cause a more serious infection. ...Read more

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Is bladder stone curable?

Is bladder stone curable?

Very curable: Most bladder stones can be broken up into little pieces or dust by endoscopic laser or lithoclast lithotripsy (breaking up stone by laser or "jackhammer" type instrument passed via cystoscope). Broken pieces or "dust" can be irrigated, juctioned out or remaining small pieces grasped. Very large stones (> than an egg) are sometimes best removed by open surgery. Patient cured then prevent new ones. ...Read more

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Does the bladder sling surgery stop urinary incontinence caused by Prostate surgery?

See remark: There are bladder slings that help in male incontinence following prostate surgery...but the results are not as good as when placing slings in female incontinence ...Read more

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What causes gall bladder pain after the gall bladder is removed?

What causes gall bladder pain after the gall bladder is removed?

Post surgery care: There are several possibilities, including passing a gallstone from the lower duct. If your pain is not controllable with your prescribed pain regimen, okay to call in to your surgical team. Be well. ...Read more

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What to eat aftet gall bladder removal surgery?

Less....: After removing gallbladder, body takes time to adapt and digest the foods you consume without bile juice from gallbladder. Generally, avoid or take less red meat, pork, butter, dairy products, eggs, fruit juice but grape and apple, caffeinated, alcoholic or carbonated beverages, even tea and decaffeinated coffee. Eat smaller meals with even intervals. In time, body adapts. Ask surgeon for detail. ...Read more

Cystectomy (Definition)

Surgical removal of the urinary bladder. The bladder is usually removed for cancer when the tumor is aggressive or other means have ...Read more