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O the abdomen. In some cases, the surgeon may do the operation through several smaller incisions using special long, thin instruments, one of which has a tiny video camera on the end to see inside the pelvis. This is known as laparoscopic, or "keyhole" surgery. trial coupon for viagra The surgeon may either use the instruments by hand or may sit at a control panel and operate them with a surgical robot.
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If it can be done, laparoscopic surgery may result in less pain and quicker recovery after the operation (due to the smaller incisions).
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But it has not been around as long as the standard type of surgery, and it's not yet clear if it is equally as effective. You will need to stay in the hospital for about a week after the surgery. You can usually go back to your usual activities in 4 to 6 weeks.
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The complications and side effects of a cystectomy can be serious.
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There is a risk of excessive bleeding, urinary tract infections, urine leakage (incontinence), and blockage of urine flow. It is important that this operation be done by a surgeon with experience in treating bladder cancer. Studies have shown there is a wide variation in quality.
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If the surgery is not done well, the cancer is more likely to come back. side effects of viagra and alcohol Reconstructive surgery: if your whole bladder is removed, you will need another way to store and remove urine. viagra for men online shopping in india Several types of reconstructive surgery can be done depending on your medical situation and personal preferences.
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One option may be to remove a short piece of the intestine and connect it to the ureters.
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This creates a passageway, known as an ileal conduit, for urine to pass from the kidneys to the outside of the body. can you buy viagra over the counter in las vegas Urine flows from the kidneys through the ureters into the ileal conduit. viagra safe use The conduit is connected to the skin on the front of the abdomen by an opening called a stoma (also known as a urostomy). After this procedure, a small bag is placed over the stoma to collect the urine, which comes out continuously in small amounts.
The bag then needs to be emptied once it is full. Another way for urine to drain is called a continent diversion.
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For this, a valve is created in a pouch made from the piece of intestine. can i buy viagra in thailand The valve allows urine to be stored in the pouch. It is emptied several times each day by placing a drainage tube (catheter) into the stoma through the valve. side effects of viagra and alcohol Some patients prefer this method because there is no bag on the outside. A newer method routes the urine back into the urethra, restoring urination.
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One way to do this is to create a neobladder – a urinary reservoir made of a piece of intestine. As with the ileal conduit and continent diversion, the ureters are connected to the neobladder.
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The difference is that the neobladder is also sewn to the urethra. viagra pills women india This allows the patient to urinate normally.
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