What is Pelvic Exenteration?
Pelvic exenteration is a radical surgical procedure used to treat advanced or recurrent gynecologic cancers that have not responded to other treatments. This surgery involves the removal of all organs from the pelvic cavity, including the bladder, rectum, and reproductive organs. It is considered a last-resort treatment aimed at relieving symptoms and potentially curing the cancer.
Treatment Process
Pre-Surgery Evaluation
Patients undergo a thorough evaluation, including imaging tests and biopsies, to determine the extent of cancer spread and to plan the surgery.
Surgical Procedure
The surgery can be classified into three types:
- Anterior Exenteration: Removal of the bladder and reproductive organs.
- Posterior Exenteration: Removal of the rectum and reproductive organs.
- Total Exenteration:Removal of all pelvic organs, including the bladder, rectum, and reproductive organs.
Reconstruction
After the removal of organs, reconstructive surgery is performed to create new pathways for urine and stool, often involving the creation of stomas.
Post-Surgery Care
Intensive post-operative care is required, including pain management, nutritional support, and monitoring for complications. Patients typically stay in the hospital for several weeks.
Popular Questions
Pelvic exenteration is used for recurrent or persistent cervical, endometrial, vaginal, and vulval cancers.
It is a more extensive surgery that involves the removal of multiple organs and requires complex reconstruction.
Hole in the abdomen from where stool/ urine comes out and gets collected in a bag.
Risks include infection, bleeding, and complications related to the surgery and reconstruction.
Recovery can take several weeks, with close monitoring and supportive care.
Not all patients are candidates for this surgery. The decision is based on the type and extent of cancer and the patient's overall health.
Patients can expect to experience significant changes in their bodily functions and will need to adapt to new ways of managing urine and stool.
Common Myths
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1. Myth : Pelvic exenteration is always a last-resort treatment.
Fact: While it is often used as a last resort, it can be part of a planned treatment strategy for certain types of cancer.
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2. Myth : Recovery from pelvic exenteration is impossible.
Fact: Recovery is challenging but possible with proper care and support.
Dr. Neha Agarwal's Expertise in Kolkata
Dr. Neha Agarwal is highly regarded for her work in performing pelvic exenteration surgeries in Kolkata. Her specialized expertise has provided numerous patients with the chance for an enhanced quality of life and potential cure. Dr. Agarwal's dedication to delivering advanced treatments and her meticulous care m
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