Skip Navigation

Laparoscopic cystectomy

Guidance issued Guidance issued
 
IP Guidance Number: IPG26
 
Summary:

The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic cystectomy in December 2003. This Guidance is currently under review. If you wish to be updated to any developments with this procedure, you can express an interest at the top of the page.

The Interventional Procedures Advisory Committee has considered this procedure and NICE has now issued a consultation document about its safety and efficacy. This has been issued for 4 weeks' public consultation (until 5pm on 25 November 2008).

If you wish to comment on the consultation document please use the link at the bottom of this page.

NICE is committed to promoting through its guidance race and disability equality and equality between men and women, and to eliminating all forms of discrimination. One of the ways we do this is by trying to involve as wide a range of people and interest groups as possible in the development of our guidance on interventional procedures. In particular, we aim to encourage people and organisations from groups in the population who might not normally comment on our guidance to do so. We also ask consultees to highlight any ways in which draft guidance fails to promote equality or tackle discrimination and how it might be improved.

Until the review is published the NHS should continue to follow the recommendations in the guidance below.

Description:

This procedure is used to treat

  • Invasive bladder carcinoma
  • Ongoing incontinence due to paraplegia, where catheterisation results in infection and ongoing leakage
  • Refractory complications in a defunctionalized bladder, where urinary diversion is already established

Laparoscopic cystectomy involves removing the bladder using small cuts (also known as 'keyhole surgery'). In women, the bladder is removed through the wall of the vagina. In men, the bladder is removed with the prostate gland, through a small cut in the wall of the abdomen. The tubes that carry urine from the kidneys to the bladder (the ureters) may then be connected to a bag worn outside the body, or parts of the bowel can be used to make an artificial bladder which is drained by a connection to the abdomen wall or to the tube that carries urine out of the body (the urethra).

Arrangements:

Other (see guidance)

Topic Area:

Surgical procedures
Urogenital

Specialty:

Specialist advice has
been sought from:
  • British Association of Urological Surgeons
  • Association of laparoscopic surgeons of Great Britain and Ireland
Date notified to NICE: 01 April 2002
Guidance Publication Date: 17 December 2003
Contact Details:
Project Manager
(for general enquiries or comments)
Ben Doak
Technical Lead
(for procedure specific enquiries or comments)
Heather Stegenga

Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA


Links:

Search NICE guidance


Advanced guidance search

Related guidance

Click the links below to see guidance on similar topics