What is the primary goal of a radical cystectomy in patients with bladder cancer?

The primary goal of a radical cystectomy in patients with bladder cancer is to remove the entire bladder along with surrounding tissues and, in some cases, nearby lymph nodes. This comprehensive surgical approach is essential for eliminating cancerous tissues and reducing the risk of recurrence, as bladder cancer can often invade the muscle layer of the bladder wall. By fully excising the bladder and any adjacent affected structures, surgeons aim to achieve clear margins, which is crucial for a successful outcome in terms of cancer control.

The other options do not align with the main objectives of a radical cystectomy. While alleviating pain is important in patient care, it is not the primary purpose of this surgery. Preserving bladder function is typically not feasible when the bladder is removed entirely; instead, post-operative plans would involve creating a new way to store and expel urine. Providing access for chemotherapy is also not a goal of a radical cystectomy, as this procedure is a definitive surgical intervention aimed at addressing the cancer rather than a means of administering systemic treatments.