Specialized unit
Robotic bladder surgery with a comprehensive approach: treating cancer, preserving urinary and sexual function, and supporting the patient every step of the way during their recovery.
About Bladder Cancer
Bladder cancer is one of the most common urological cancers. In its early stages, it can be treated with minimally invasive techniques such as transurethral resection, with very good results.
However, when the tumor invades the muscle layer— a condition known as invasive bladder cancer—the most effective treatment for curing the disease is usually radical cystectomy: the complete removal of the bladder.
Our goal is not only to remove the tumor, but also to restore the patient’s quality of life as much as possible.
Video
What it is, how it is diagnosed, and what treatment options are currently available.
Technology at the service of the patient
At our facility, cystectomy is performed using robotic surgery, a technology that has revolutionized this procedure and its outcomes.
Greater precision in surgical dissection
Better vascular control and less bleeding
Maximum preservation of nerves and key structures
Less damage to the intestine and surrounding tissues
Faster and safer recovery
This paves the way for something fundamental: restoring urinary function as naturally as possible.
Urinary reconstruction
Following bladder removal, the most advanced option is an orthotopic neobladder: a new internal reservoir created from intestinal tissue and connected to the urethra, which allows patients to regain a urinary function that is as close to natural as possible.
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Urination without devices or collection bags for greater independence
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Completely normal appearance, with no visible features.
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A return to social and professional life with independence.
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Most people resume their normal activities without restrictions.
What is most concerning
The two most common questions people have before a cystectomy, with clear answers.
With proper technique and close follow-up, the prognosis is usually very good. Bladder control is gradually restored. There may be some minor nighttime leakage at first, but this gradually disappears. Pelvic floor rehabilitation speeds up recovery, and the vast majority of patients regain normal bladder function.
This process is monitored starting on the first day after surgery.
A diagnosis of bladder cancer does not have to mean the end of one’s sex life. With nerve-sparing techniques, it is possible to preserve erectile function in a significant percentage of patients. Robotic surgery allows for more precise dissection of nerve structures compared to conventional surgery.
We have a specific monitoring plan in place for this function.
Options after cystectomy
Our team evaluates on a case-by-case basis what the best option is for each patient.
Preferred option when possible
Natural urination through the urethra, without an external pouch
Body image fully preserved
Greater comfort and integration into daily life
A better quality of life in the long term
Thanks to robotics, an increasing number of patients are eligible for the procedure, even at an advanced age.
When a neobladder is not indicated
External drainage using a collection bag (urostomy)
A simpler procedure in certain cases
Indicated when the neobladder is not viable
A proven technique with predictable results
It ensures proper kidney function and a good quality of life.
Directions
Not all patients are suitable candidates, but the possibilities are growing. The decision depends on the cancer’s stage, the patient’s overall health, and anatomical factors.
It may not be appropriate for very extensive tumors, patients who have previously undergone pelvic radiation therapy, medical conditions that preclude prolonged surgery, or when immediate comfort is the priority.
Each case is evaluated on an individual basis.
Special attention
Its incidence is on the rise. Robotic surgery offers particularly significant advantages: improved surgical access, often faster recovery of bladder control, a cosmetic outcome with minimal incisions, and the option of a neobladder with excellent functional results.
The condition isn't exclusive to men, and neither are the solutions.
Comprehensive approach
Treatment doesn't end in the operating room. We support the patient every step of the way.
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Urologists with internationally recognized training and experience in robotic cystectomy and neobladder reconstruction.
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A personalized pelvic floor program and dedicated nursing care providing ongoing monitoring from day one.
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Clinical psychology and ongoing emotional support. The patient does not go through this process alone.
After surgery
Following a successful cystectomy, most patients can return to work, resume physical activity, maintain an active social life, and, in many cases, resume their sex life without feeling permanently disabled.
Cancer can be treated. Life goes on.
A pioneer and international leader in robotic cystectomy and neobladder reconstruction. One of the largest series of this procedure worldwide. Direct contributor to the Urointec robotic surgery program
A urologist specializing in robotic surgery, trained directly by Prof. Gaston. He is responsible for implementing the program in the Canary Islands and for patient care at the hospital.
The choice of treatment makes all the difference. Consult with our team and explore all your options for robotic surgery.