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Pelvic Exenteration Expert Care

Specialized pelvic exenteration surgery at PristynCare for recurrent or advanced pelvic cancers. Multidisciplinary care with reconstructive expertise for optimal outcomes.

Specialized pelvic exenteration surgery at PristynCare for recurrent or advanced pelvic cancers. Multidisciplinary ... Read More

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    Dr. Kiran Dua - A gynaecologist for Endometriosis

    Dr. Kiran Dua

    MBBS, MD-Obs & Gynae
    48 Yrs.Exp.

    5.0/5

    48 Years Experience

    location icon Pristyn Care Elantis Hospital, Lajpat Nagar, Delhi
    Call Us
    080-6542-3711
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    Dr. Krishan Kapur - A gynaecologist for Endometriosis

    Dr. Krishan Kapur

    MBBS, MD-Obs & Gynae
    42 Yrs.Exp.

    4.5/5

    42 Years Experience

    location icon Pristyn Care Elantis Hospital, Lajpat Nagar, Delhi
    Call Us
    080-6962-5908
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    Dr. Uma Challa - A gynaecologist for Endometriosis

    Dr. Uma Challa

    MBBS, MD-Obs & Gynae
    42 Yrs.Exp.

    5.0/5

    42 Years Experience

    location icon 7-1-71/A/1, Dharam Karan Rd, ShivBagh, Ameerpet, Hyderabad, Telangana 500016
    Call Us
    080-6542-3712
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    Dr. Neeta Mishra - A gynaecologist for Endometriosis

    Dr. Neeta Mishra

    MBBS, MD-Obs & Gynae
    40 Yrs.Exp.

    5.0/5

    40 Years Experience

    location icon Pristyn Care Elantis, Ring Road, Lajpat Nagar
    Call Us
    080-6542-3711

Pelvic Exenteration

Pelvic exenteration is a major surgical procedure involving removal of all pelvic organs including the bladder, rectum, uterus, cervix, and vagina for treatment of advanced or recurrent pelvic malignancies. It is a complex, curative-intent operation requiring a multidisciplinary team and reconstructive expertise.

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Symptoms

Conditions requiring pelvic exenteration present with:

  • Recurrent or locally advanced pelvic cancer
  • Chronic pelvic pain unresponsive to treatment
  • Fistula formation between pelvic organs and skin
  • Tumor invasion into bladder or rectum
  • Urinary or fecal incontinence from tumor involvement

Causes

Pelvic exenteration is indicated for:

  • Recurrent cervical cancer after radiation therapy
  • Locally advanced rectal cancer with pelvic invasion
  • Advanced uterine or vaginal cancer
  • Bladder cancer with pelvic extension
  • Pelvic sarcoma or rare pelvic tumors

Types of Pelvic Exenteration

Types based on structures removed:

  • Total pelvic exenteration – removal of bladder, rectum, and reproductive organs
  • Anterior exenteration – bladder and reproductive organs only
  • Posterior exenteration – rectum and reproductive organs only
  • Extended exenteration including bone or vascular resection

Pristyn Care’s Free Post-Operative Care

Diet & Lifestyle Consultation

Post-Surgery Recovery Follow up

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24*7 Patient Support

Risk Factors

Patients requiring pelvic exenteration have risk factors including:

  • Prior pelvic radiation leading to poor tissue healing
  • Advanced or recurrent gynecological cancer
  • Colorectal cancer with pelvic invasion
  • Failure of prior surgical or chemo-radiation treatment

Who is at Risk

Patients with recurrent or locally advanced cervical, uterine, rectal, or bladder cancer who have not responded to prior treatment and have disease confined to the pelvis are candidates for pelvic exenteration.

Diagnosis

Pre-operative evaluation includes:

  • MRI pelvis for detailed tumor mapping
  • CT chest and abdomen to rule out distant metastasis
  • PET scan for metabolic activity assessment
  • Cystoscopy and sigmoidoscopy for organ involvement
  • Biopsy confirmation of recurrent disease
  • Multidisciplinary team assessment for surgical candidacy

Treatment Options

Pelvic exenteration is a complex surgical procedure performed with curative intent. It requires reconstruction of urinary diversion and bowel continuity using intestinal conduits or neobladder creation. Reconstructive surgery including vaginal reconstruction may be offered simultaneously.

The Procedure

The procedure involves:

  • Comprehensive pre-operative assessment and bowel preparation
  • Laparotomy or laparoscopic approach for pelvic access
  • En-bloc removal of bladder, uterus, cervix, vagina, and rectum as required
  • Urinary diversion via ileal conduit or neobladder construction
  • Colorectal anastomosis or end colostomy for bowel continuity
  • Vaginal reconstruction using myocutaneous flaps
  • Extended hospital stay with intensive post-operative care

After the Surgery

Post-operative recovery includes:

  • ICU admission for the first 24 to 48 hours
  • Hospital stay of 7 to 14 days
  • Stoma care education for urostomy and colostomy
  • Wound care and nutritional support
  • Physiotherapy and rehabilitation
  • Oncology follow-up and surveillance imaging

Possible Complications of Pelvic Exenteration

Major complications include:

  • Anastomotic leak or bowel fistula
  • Wound infection and delayed healing due to prior radiation
  • Urinary fistula or diversion complications
  • Deep vein thrombosis and pulmonary embolism
  • Pelvic abscess and sepsis
  • Long-term stoma and quality of life adjustments

Frequently Asked Questions

What is pelvic exenteration surgery?

Pelvic exenteration is a major surgery involving removal of all or most pelvic organs for advanced or recurrent pelvic cancers, performed with curative intent.

Who is a candidate for pelvic exenteration?

Patients with recurrent cervical, uterine, rectal, or bladder cancer confined to the pelvis who have no evidence of distant metastasis are candidates.

Is pelvic exenteration a curative surgery?

Yes, pelvic exenteration is performed with curative intent. Long-term survival is achievable in selected patients when the cancer is confined to the pelvis.

What reconstruction is done after exenteration?

Reconstruction includes urinary diversion, bowel anastomosis or colostomy, and vaginal reconstruction using flaps or grafts to restore function and quality of life.

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Medically Reviewed By
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Dr. Kiran Dua
MBBS, MD-Obs & Gynae
48 Years Experience Overall
Last Updated : April 29, 2026

What Our Patients Say

  • ME

    Mehak, 25 Yrs

    verified
    5/5

    My Endometriosis treatment was good and recovery seems great. Would like to thank dr radhikha G for it. She is really help full

    City : Chennai
    Treated by : Dr. Radhika G
  • HJ

    Hansika Jindal

    verified
    5/5

    One day, my friend Sneha told me she had been experiencing pain for two to three months, which was often much worse than normal period cramps. I suggested she consult a gynecologist and start treatment, and she is now well.

    City : Hyderabad
  • MI

    Meera Iyer

    verified
    5/5

    Endometriosis was ruining my daily life. The treatment suggested has given me so much relief. Can’t believe I can go through an entire month now without that unbearable pain.

    City : Hyderabad
  • NB

    Nisha Bhandari

    verified
    5/5

    Endometriosis treatment was handled very carefully. I used to think the pain was normal, but now I know it’s not. Life feels so much lighter.

    City : Hyderabad
  • SH

    Shalini, 27 Yrs

    verified
    5/5

    The best thing about she is an excellent and skilled surgeon she gave me a thorough explanation in a calm manner that i could understand, which nearly made the whole stressful situation enjoyable.

    City : Delhi
    Treated by : Dr. Nidhi Moda
  • PO

    Pooja, 38 Yrs

    verified
    5/5

    Recovery was smooth thanks to the doctor.

    City : Delhi
    Treated by : Dr. Kiran Dua