Hackensack University Medical Center’s urology experts offer the region’s most advanced bladder cancer treatments. Working closely with the cancer specialists from the John Theurer Cancer Center, our fellowship-trained urologists provide the coordinated care and treatment you need for your specific condition.
When treating bladder cancer, our goal is to maintain urinary continence, preserve your quality of life and provide the best oncologic outcomes. Our surgeons are experts in techniques for bladder preservation; and if the bladder has to be removed, they can reconstruct a new bladder to restore your normal lifestyle.
We offer a full spectrum of surgical options to treat all stages of bladder cancer and use minimally invasive and nerve-sparing procedures whenever possible. Our surgeons perform the highest volume of minimally invasive cystectomies in New Jersey and are a referral center for urologists throughout the tri-state area.
Bladder Cancer Surgery
Our surgeons are highly skilled at performing bladder cancer surgery that preserves as much of your bladder as possible. The goal of our urologists is to deliver the most effective long-term treatment for your cancer while also maintaining your quality of life.
6 years - 255 cystectomies
~1/3 obtain a neobladder
Adopted ERAS protocol since December 2016 with following outcomes:
Average LOS 5-6 nights 16% transfusion rate
16% readmission rate
Our urologists are pioneers in the use of robotic surgery and minimally invasive techniques for treating bladder cancer. They specialize in procedures such as:
Transurethral Resection (TUR)
TUR is a procedure that can be used to diagnose and treat bladder cancer. During the procedure, a special tool called a resectoscope is passed into the bladder through the urethra and is used to remove the cancer and eradicate any remaining cancer cells.
Partial cystectomy is a surgical procedure to remove part of the bladder. Your doctor will determine if you are a candidate for this bladder-sparing surgery. Our surgeons perform partial cystectomies using robotic and minimally invasive techniques.
Radical cystectomy is a surgical procedure to remove the entire bladder along with the prostate in men. In women, it includes removing the uterus and fallopian tubes.
Following the removal of the bladder, one of three methods of urinary reconstruction may be used to provide a way for urine to exit the body. Your surgeon will discuss your options with you, given your specific condition. The three methods are:
Many patients who require bladder removal (cystectomy) may be candidates for neobladder reconstruction, a surgical procedure that uses a segment of the small intestine to construct a new bladder. This highly technical procedure allows you to maintain your ability to void normally without needing to wear a bag or place a tube.
A continent urinary diversion, or pouch, is for patients who are not candidates for neobladder reconstruction, but who still wish for no external bag or tube. A more complex reconstruction, this procedure creates a reservoir to collect urine inside the body. A small opening in the skin called a stoma (usually located in or near the navel) allows a catheter to be used to empty the reservoir. The stoma can be covered with an adhesive bandage.
An ileo-conduit is a simple urine diversion method that uses a small segment of intestine to allow urine to exit through an opening located to the right of the navel. This diversion requires urine to be collected in an external device or bag.
Our urologists have experience with all three bladder reconstructive procedures. The majority of these procedures are performed using robotic minimally invasive techniques, which may decrease blood loss, trauma to the body and recovery time.
Our urologists partner with the bladder cancer specialists at John Theurer Cancer Center to provide chemotherapy and radiation treatment in combination with your surgical procedure, if necessary. Your unique set of circumstances, lifestyle and ultimate goals are evaluated in detail by a multidisciplinary team to determine the best treatment options for your condition.