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A stoma is present with ileal conduit or other cutaneous diversions.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation episode (radical cystectomy with urinary diversion)."},"stages":[{"code":"cystectomy_diversion","label":"Cystectomy with lymph node dissection and urinary diversion in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation"}}],"qualifier":"Single-stage standard protocol; perioperative systemic therapy, if any, is separate."},"success":{"metric":"5-year overall survival after radical cystectomy for muscle-invasive bladder cancer","value":55,"unit":"percent","horizon":"5 years","population":"Adults with muscle-invasive, non-metastatic bladder cancer undergoing radical cystectomy with lymphadenectomy","evidence_status":"limited"},"techniques":[{"name":"Open radical cystectomy with urinary diversion","suits_whom":"Standard approach for most patients, including those with extensive disease or prior surgery.","recovery":"Hospital stay about 7-10 nights; return to desk work in about 8-12 weeks."},{"name":"Robot-assisted radical cystectomy","suits_whom":"Selected patients at experienced centres with suitable disease extent and fitness.","recovery":"Hospital stay about 5-8 nights; recovery similar or slightly faster early on."},{"name":"Ileal conduit diversion","suits_whom":"Most common diversion; suits older or less fit patients or those preferring simplicity.","recovery":"External stoma with collection bag; simpler recovery."},{"name":"Orthotopic neobladder","suits_whom":"Selected fit patients with preserved kidney function and no urethral involvement.","recovery":"Longer adaptation to voiding and continence training over months."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Radical cystectomy with lymphadenectomy and urinary diversion in an uncomplicated adult case; neobladder tends toward the longer end."},"initial_assessment_documents":["Cystoscopy and TURBT report","Bladder biopsy pathology report","Pelvic and abdominal CT urogram","Pelvic MRI (if available)","Recent creatinine and eGFR results","Chest CT or chest X-ray report"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay about 2-3 weeks including hospital stay and stent or catheter plan. Second trip only for follow-up abroad."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably 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your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You do not want surgery to remove the bladder","name":"Trimodality therapy","source":{"url":"https://www.mayoclinic.org/diseases-conditions/bladder-cancer/diagnosis-treatment/drc-20356109","host":"mayoclinic.org","quote":"Known as trimodality therapy, this approach combines TURBT, chemotherapy and radiation therapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"open-radical-cystectomy","name":"Open radical cystectomy with urinary diversion","how_it_works":{"text":"The bladder is removed and urine is rerouted for drainage","source":{"url":"https://www.mayoclinic.org/medical-professionals/urology/news/lymph-node-dissection-during-radical-cystectomy-for-patients-with-nonmuscle-invasive-bladder-cancer/mac-20541241","host":"mayoclinic.org","quote":"removal of the bladder, urinary diversion to reroute the urinary tract to allow for urinary drainage, and removal of lymph nodes in the pelvis and sometimes lower abdomen, known as lymph node dissection.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.healthline.com/health/bladder-removal-surgery","host":"healthline.com","quote":"You should be able to resume normal activities in four to six weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"robot-assisted-radical-cystectomy","name":"Robot-assisted radical cystectomy","how_it_works":{"text":"The surgeon controls a robot holding camera and tools through small cuts","source":{"url":"https://my.clevelandclinic.org/health/treatments/21049-cystectomy","host":"my.clevelandclinic.org","quote":"For a minimally invasive surgery, they make small cuts and use a camera and tools attached to a surgical robot that the surgeon 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A section of intestine carries urine to an opening in the belly, called a stoma.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"orthotopic-neobladder","name":"Orthotopic neobladder","how_it_works":{"text":"An intestinal reservoir connects to the urethra for urine release","source":{"url":"https://www.mayoclinic.org/tests-procedures/bladder-cancer-surgery/about/pac-20605765","host":"mayoclinic.org","quote":"Neobladder. A reservoir made from intestine is connected to the urethra, so urine can leave the body through the urethra.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=rumuniya/city=buharest/procedure=udalenie-mocevogo-puzyra/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-08T08:00:47.000Z","activeCountries":["RO","TR","AT","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}