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Advanced Surgery Restored Quality 
Pelvic Exenteration
at Athenaa

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What is Pelvic Exenteration 
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Pelvic exenteration is a highly complex surgical procedure performed for certain advanced or recurrent gynecological cancers (most commonly cervical, vaginal, vulvar, or endometrial cancers) when the disease is confined to the pelvis but cannot be controlled by radiation or chemotherapy alone.

It involves the removal of all affected pelvic organs (bladder, urethra, rectum, anus, and may also include removal of reproductive organs) to achieve complete cancer clearance, especially when the tumor has invaded the bladder, rectum, or parts of the bowel. Pelvic exenteration may offer a chance of cure in cases where all other options have been exhausted.

How the Procedure
 is Performed
At Apollo Athenaa, every surgical step is carefully planned and performed by experienced surgeons with a focus on safety, precision, and recovery.
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  • Surgery is performed under general anesthesia. It may take 6–12 hours depending on the extent of disease and organs involved.
  • The surgery is tailored to each patient and classified into anterior exenteration (removal of the uterus, cervix, upper vagina, bladder, and urethra), posterior exenteration (removal of the uterus, cervix, upper vagina, rectum, and part of the colon) or total exenteration (removal of both bladder and rectum along with reproductive organs).
  • Lymph nodes may also be removed for staging or if involved with disease.
  • Reconstruction is an essential part of the procedure involving urinary diversions (like ileal conduit), colostomy or neovaginal reconstruction, depending on the organs removed.
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Recovery 
Healing at Apollo Athenaa is supported through structured post-operative care,
counselling, and rehabilitation support.
Hospital Recovery

Hospital stay of 10–14 days with effective pain control using epidural or IV medications.

Early Rehabilitation

Early mobilization, physiotherapy, and nutritional support begin soon after surgery.

Specialized Training

Patients receive training in stoma or urinary diversion care, when required.

Long-Term Healing

Full recovery may take weeks to months, supported by regular follow-ups and rehabilitation.

Key 
Advantages
At Apollo Athenaa, surgery is thoughtfully planned with a personalized approach, ensuring safety, precision, and optimal outcomes.
Potential Cure
Offers a potential cure for select patients with no other treatment options.
Complete Removal
Enables full removal of disease, even in complex pelvic recurrences.
Symptom Relief
Improves quality of life by addressing bleeding, fistulas, or pain.
Functional Restoration
Tailored reconstruction techniques support rehabilitation and functional recovery.
Continuum of Care
At Apollo Athenaa, our teams remain involved at every stage, ensuring that recovery is not only physical, but also emotional and empowering. Each woman is supported through
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Psychological counselling and psychosocial rehabilitation to help women cope with treatment and recovery.

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Nutritional guidance, physiotherapy, and support for stoma or continence care to aid functional recovery.

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Sexual health support and counselling to restore confidence and quality of life.

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Regular follow-ups and cancer monitoring, ensuring continued care and a safe return to daily life.

Frequently Asked Questions
What is pelvic exenteration?
01

Pelvic exenteration is an extensive surgical procedure aimed at removing cancer that has spread within the pelvic organs. It may involve the removal of the bladder, rectum, reproductive organs, or parts of multiple pelvic structures in selected patients.

Who is a candidate for pelvic exenteration?
02

This surgery is considered for patients with locally advanced or recurrent pelvic cancers when other treatments are insufficient. Careful evaluation, including imaging and multidisciplinary consultation, is done to determine suitability.

What are the goals of this surgery?
03

The main goals are to remove all visible disease, relieve symptoms such as bleeding, fistulas, or pain, and, in some cases, offer a potential cure when other options are limited.

What is recovery like after pelvic exenteration?
04

Hospital stay typically ranges from 10–14 days or longer depending on surgery extent. Recovery involves pain management, physiotherapy, nutritional support, stoma or urinary diversion care if needed, and ongoing follow-up.

Are there reconstruction or rehabilitation options?
05

Yes. Tailored reconstruction techniques can restore function, support stoma or urinary diversion management, and help patients regain quality of life, including sexual and psychosocial rehabilitation.

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