Radical Cystectomy with Ileal Conduit Urinary Diversion

Radical cystectomy is performed in people who have potentially curable bladder cancer. There are several things you need to do in the time before surgery to …

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Radical Cystectomy with Ileal Conduit Urinary Diversion
Preparing for a major operation can be a stressful time. The purpose of this note is to reinforce our conversations in the office and to help you better understand and prepare for what lies ahead.
Radical cystectomy is performed in people who have potentially curable bladder cancer. There are several things you need to do in the time before surgery to help ensure a fast and safe recovery.
During surgery of this nature, it is not uncommon to have a significant amount of blood loss. Although transfusion is not normally or automatically given, we prefer to prepare for this possibility. A blood recycling machine will be available during the procedure. Banked blood is checked for AIDS and other diseases such that there has not been a case  of AIDS associated transfusion in Santa Clara County in the over 15 years that screening has been available. You may elect to donate some of your own blood ahead of time at your own cost, although this does require delaying surgery at least two weeks for each unit given. Blood relatives may be eligible to donate for you if their blood types are sufficiently compatible with yours.
PRE-OPERATIVE INSTRUCTIONS
Avoid all blood thinning products one week prior to surgery, including Aspirin, Excedrin, Ecotrin, Naprosyn, Ibuprofen, Motrin, Advil, Coumadin and other “nonsteroidals”.
The anesthetic and surgery you will receive ordinarily puts the intestines “asleep” for several days. We find that the surgery is safer and the stomach will recover quicker if you follow these instructions closely:
Two days prior to surgery – Clear liquids and Jell-O without additives only. Please drink a lot of fluids to stay well hydrated.
The day prior to surgery – Continue the clear liquids and add three bottles of Magnesium Citrate – starting about midday. This will produce significant amount of diarrhea, so keep the fluids going as well. You will also receive a prescription for antibiotics (Neomycin and Erythromycin) to be taken at approximately 1, 4 and 10 p.m. the night prior to surgery.)
Nothing to eat or drink beginning at midnight the night before surgery. You may take your normal medicines that morning with a sip of water. We will supply your normal medicines for you while you are in the hospital. Please bring all your regular medicines to the hospital with you.
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