Radical Cystectomy with Mitrofanoff - update on experience

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Hi, 

It’s been a while since I last posted, so I thought I would just provide an update as the forum has been so useful to me. 

After a TURBT and diagnosis of MIBC followed by chemo, I had my RC at the Royal Marsden in mid January. I travelled to London from Staffordshire as I wanted skilled and experienced surgeons for a mitrofanoff urinary diversion with genital and nerve sparing techniques. The surgeons and their teams at the Marston have been amazing throughout. 

As part of the operation, I also had a hysterectomy, cervix and lymph nodes removed. It was a long one … about 10 hours long …most of that (I understand) was creating the mitrofanoff from part of my bowel and my appendix.

The initial recovery, I found difficult and it made me feel so vulnerable. It took a while for my bowel to waken up and I had IV nutrition. I was in hospital for about 10 days. 

Returning home, I had two catheters in place going through my tummy into the mitrofanoff pouch. A catheter which supported the mitrofanoff while it healed and a supra pubic catheter. I had these in place about 6 weeks and was very happy to get these taken out! The SP catheter was sore and I also had an infection and needed antibiotics during this time.

It’s about 2 months on from my operation now. I still feel some achiness and get tired easily but better by the day. I don’t need any painkillers.
I am growing my mitrofanoff and self catheterise every 3 hours at the moment. It’s wonderful having nothing ‘attached‘ to me. I am very glad to be at the other side of a heavy going recovery though …and despite this definitely think that having a mitrofanoff was the best option for me. I always knew recovery would be more difficult but I felt that it gave me a better outcome …so it was worth it. It was definitely worth it! 

It still feels a bit strange peeing through my belly button …but is definitely my new normal now. It doesn’t feel that different from my life before. I just have to remember to keep a spare catheter in my bag/car. 

The pathology following the op showed no growth outside the bladder, which is fab news. I move into the phase now …fear of recurrence and scan anxiety….which I know we all Iive with …particularly in the early days. 
I will be keeping my fingers crossed and hope in my heart. I’ve done everything I could do to kick out cancer, I hope it’s enough but have good odds! 

  • Excellent news, glad all is going well. I'm especially interested to hear you experience with Mitrofanoff, as I had considered that. My surgeon nudged me towards neobladder instead, which ahs worked out fine for me. I have to self catheterise to fully empty, but at least the catheters are shorter than for Mitrofanoff!

    Hope recovery continues well - keep it slow but steady. 

  • Hi,It’s good to hear you are doing well.The tiredness should get better over time.Best wishes for your recovery.Jane x

  • Hiya,

    Yes, the consultant mentioned that a lot of women have to self-cath with a Neo bladder …and that self cathing through the belly button with a mitrofanoff is easier. I imagine you have lots of experience self cathing now …so it’s a lot easier to do over over time.

    Self cathing the mitrofanoff is so simple. It’s just like a value that you poke the catheter through. It sounds a lot worse than it is in real life! It feels like a detachable penis ..which is a different experience!!
    The only concern I have is keeping everything clean and infections at bay. I’m also taking cranberry/d-mannose tablets to help with this. 

    • If you can take the recovery, it’s definitely worth it. I can imagine you faced a similar recovery time with your Neo bladder too. 
  • Yes, I did quite well stretching neo quickly, but several months to be fully confident of continence. I was told that neos can go on improving for a couple of years, I expect it's similar with Mitrofanoff. You get used to knowing when it's full, likely gap until next need to void and so on. 

    Although I had to be clean in hospital, they said it was less important at home. I don't take any special precautions & haven't had anny infections. Seems some people are more susceptiable than others. 

    The only aspect I still dislike is having to get up at night to empty!