Anterior exenteration
Removal of anterior pelvic organs: bladder, uterus (in women), prostate (in men), preserving the rectum.
Radical surgery for advanced or recurrent pelvic tumors. In selected patients it can offer a chance of cure when other treatments have not worked. Each case is assessed by a multidisciplinary team.
CONTACT SPECIALISTPelvic exenteration is a radical surgical intervention consisting of en bloc removal of pelvic organs affected by a tumor. It is the treatment of choice for locally advanced or recurrent pelvic tumors that cannot be treated with other techniques.
Although it is a highly complex surgery, it offers the possibility of cure in patients who would otherwise only have palliative options. After the resection, whatever is needed is reconstructed so that the patient keeps the best possible quality of life.
Different modalities exist depending on which organs must be removed:
Removal of anterior pelvic organs: bladder, uterus (in women), prostate (in men), preserving the rectum.
Removal of the rectum and posterior reproductive organs, preserving the bladder and urinary system.
Removal of all pelvic organs: rectum, bladder, uterus/prostate, and adjacent reproductive structures.
Also includes bony structures (sacrum, pubis) or lateral pelvic walls when affected.
This surgery is indicated in the following situations:
Recurrence of colorectal, gynecological, or urological cancer in the central pelvis after previous treatment.
Primary tumors infiltrating multiple pelvic organs but without distant metastases.
Tumors that have created abnormal communications (fistulas) between pelvic organs.
Tumor persistence or recurrence after previous radical pelvic radiotherapy.
Reconstruction is part of the pelvic exenteration itself:
Creation of an ileal conduit (Bricker) or neobladder to divert urine when the bladder is removed.
Exteriorization of the colon to the abdominal wall when the rectum is removed, temporary or permanent.
Use of vascularized tissues (rectus abdominis, gracilis) to fill the pelvic defect and improve healing.
In women, vaginal reconstruction using flaps to maintain function and anatomy.
At Quenet-Torrent Institute we have experience in pelvic exenteration. Our multidisciplinary team includes oncological surgeons, urologists, gynecological oncologists, plastic surgeons, and stomatherapists.
We study each case in detail to decide whether surgery is feasible and how to plan it. When possible, we use robotic surgery.
Pelvic exenteration is applied in advanced or recurrent tumors from various locations.
Pelvic recurrences of rectal cancer.
More information about colorectal tumorsLocally advanced cervical, endometrial, or vaginal cancer.
More information about gynecological tumorsRetroperitoneal sarcomas with pelvic involvement.
More information about pelvic sarcomasWe operate in two private hospitals in Spain. The same medical team treats you in Madrid and in Barcelona, with the same surgical and oncological protocols.
Private hospital in Pozuelo de Alarcón with a multidisciplinary team specialised in digestive surgical oncology.
View Memorial Publio Cordón Hospital
Private hospital in Barcelona where the team performs high-complexity surgical oncology.
View Centro Médico TeknonReal testimonies from patients treated by our team in high-complexity surgical oncology.
66-year-old English woman with advanced ovarian cancer and peritoneal metastases. Treated with cytoreduction + HIPEC, she is now disease-free.
Read the full case73-year-old patient with advanced cancer treated with chemotherapy and high-complexity surgical oncology, with good survival and quality of life.
Read the full caseA mistaken diagnosis of terminal colon cancer that a second opinion revealed to be pseudomyxoma peritonei, treatable with cytoreductive surgery and HIPEC.
Read the full caseDiagnosed with widespread peritoneal carcinomatosis and considered inoperable. After complete cytoreduction with HIPEC, today his is a story of survival.
Read the full caseWonderful surgical team, among the best out there. Dr. Torrent (expert in peritoneal carcinomatosis) is an exceptional surgeon and an even better person. His coordinator is super kind, fast and efficient. The personal care is excellent and so are the results. This is of vital importance for cancer patients.
In the public healthcare system they gave my father a maximum of one year to live. They only offered him chemo and no hope, said it was impossible, that nothing could be done. He had several tumors inside the peritoneal sac with metastases. A year and a half later he is clean, completely cured. His latest PET scan came back clean. We are very happy. Thanks to Dr. Torrent and his team. THANK YOU.
Excellent professionals, especially Dr. Torrent, attentive at all times to the patient (my wife), operated for peritoneal pseudomyxoma. They helped us with all our needs since we came from outside Barcelona. Thank you Elisabeth. We are very grateful to Quenet Torrent Institute, thank you for everything.
I am a 63-year-old patient. They detected adrenal gland cancer and told me there was nothing to be done. I sought a second opinion and they told me about the Quenet Torrent team, specialists in complex operations. Dr. Torrent, from the first moment, told me they could operate. They operated and removed a large tumor mass. I spent a week in the ICU and a month on the ward. Every day he came morning and evening, no matter Saturday or Sunday. Never throw in the towel. I am happy to have found these professionals who gave me my life back. Thank you.
Many thanks for your attention. Dr. Torrent always attentive, involved and decisive. The reception staff very pleasant and always offering the best option. 100% RECOMMENDED. THANK YOU.
Dr. Torrent helped me make the best decision at a difficult moment. I think he is a great professional and a person capable of accompanying you and putting himself in another's shoes. Thank you for everything.
I have peritoneal carcinomatosis. When I sent my diagnosis to every center, practically all of them agreed on palliative chemo with little survival time, since I had a very aggressive type of cell. Until we reached Dr. Quenet, Dr. Torrent and their team. I can only confirm what their CV announces: they are far ahead of the rest. They saved my life, because during the operation the harmful cells that everyone had diagnosed, and that were the reason nobody would operate on me, were not there. This intervention has become the best investment of my life.
The best decision of my life was finding this excellent team of surgeons who saved my husband's life. At a prestigious international clinic in Madrid he was given up for lost with advanced peritoneal carcinomatosis from appendiceal cancer, and thanks to them, the best professionals in this field, he was operated on very successfully. A perfect recovery with no complications, because they were on top of his progress at all times. They have a great quality: from the start they were very honest and close. I can only be deeply grateful; we went to buy time and thanks to them my husband got his life back.
Dr. Torrent is a brilliant surgeon and a very approachable and warm doctor, whose manner reveals all the qualities that make him a great person and professional: perseverance, innate curiosity and a desire to learn, humility, sincerity and empathy. Going through an operation is undoubtedly an intense experience, physically and emotionally, in which anxieties arise and you feel very vulnerable. All of that is normal, and as his former patient I can say that his care and professionalism throughout the process were absolutely exceptional. I felt very supported by him, with the confidence of knowing I was in the best hands. I will always be grateful to him. Moltes gràcies Dr. Torrent!
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