Cystectomy: Bladder Removal, Reconstruction & Quality of Life with Dr. Seiler 🚻🩺 скачать в хорошем качестве

Cystectomy: Bladder Removal, Reconstruction & Quality of Life with Dr. Seiler 🚻🩺

Welcome to our medical talk! Today, we're discussing Cystectomy, a significant surgical procedure, with our top-level expert, Dr. Daniel Seiler from Urologie Rotes Schloss in Zurich. If you or a loved one are facing advanced bladder cancer, this interview offers crucial insights into bladder removal, reconstruction options, and what to expect regarding quality of life. 🎯 When is a Cystectomy Performed? 🎯 Dr. Seiler clarifies that complete bladder removal (cystectomy) is primarily reserved for patients with advanced, muscle-invasive bladder cancer – about 10% of cases. He explains that the majority of bladder cancers are superficial, allowing patients to keep their bladder. Learn why and when this comprehensive surgery becomes a necessary step. 🤖 Minimally Invasive Surgery & Bladder Replacement Options 🤖 Discover how modern technology is utilized! Dr. Seiler explains that cystectomies are often performed using the Da Vinci robotic system with smaller incisions. Crucially, he details the two main options for urine diversion after bladder removal: Neobladder Reconstruction: Taking a section of bowel to construct a new bladder, primarily for younger patients, aiming for a very similar quality of life. Ileal Conduit (Urostomy/Stoma): A urinary stoma where urine flows into a small external bag, typically preferred for older patients. 🤔 Reconstructing a Bladder: How It Works & Quality of Life 🤔 How is a new bladder actually created? Dr. Seiler describes taking about 50 cm of bowel to construct a sphere that mimics a bladder. While not exactly the same as the original bladder, he emphasizes that it offers a very similar quality of life, often without the need for an external stoma, though some minor incontinence, especially at night, can occur. He also discusses how even patients with an ileal conduit can achieve a very good quality of life, sometimes even better than before surgery if they suffered from severe bladder issues. 🔬 The Future of Bladder Reconstruction: Tissue Engineering 🔬 Looking ahead, Peter Zombori asks about the possibility of growing a new bladder from one's own cells. Dr. Seiler shares that while tissue engineering to grow a new bladder in a lab is a long-term wish for the future, he believes we are still 20 years or more away from this becoming a realistic clinical option. Thank you to Dr. Daniel Seiler for his invaluable expertise and for shedding light on this complex procedure! The key moments: 0:00 Introduction to Cystectomy with Dr. Daniel Seiler 0:36 When Bladder Removal (Cystectomy) is Necessary 1:41 Minimally Invasive Robotic Surgery & Bladder Replacement Options 2:57 How a New Bladder is Reconstructed from Bowel 3:37 Quality of Life After Bladder Reconstruction 4:10 The Future: Tissue Engineering & Growing a New Bladder 5:14 Improvement of Life after Cystectomy To find out more about Dr. med. Seiler and his private clinic, visit: https://urologie.zuerich/ 🔔 Subscribe for more enlightening discussions on medical breakthroughs! 🔔 #Cystectomy #BladderCancer #Urology #RoboticSurgery #DaVinciSurgery #BladderReconstruction #IlealConduit #Urostomy #QualityOfLife #DrDanielSeiler #HirslandenZurich #MedicalInterview