Anterior exenteration
Removal of anterior pelvic organs: bladder, uterus (in women), prostate (in men), preserving the rectum.
Radical Surgery
Pelvic Exenteration
Radical surgery for advanced or recurrent pelvic tumors. We offer a second chance at cure when other options have failed, with specialized multidisciplinary teams.
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Our team's track record
World leaders in abdominal oncological surgery
The Quenet Torrent Institute team brings decades of international experience in highly complex oncological surgery, with results published in leading scientific journals and recognition from European surgical oncology societies.
+20,000
Oncological surgeries performed
+500
Cytoreductive surgery + HIPEC procedures
30+
Years of international experience
Top
European reference centre in carcinomatosis
What is pelvic exenteration?
Pelvic 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. Advances in surgical and reconstruction techniques have significantly improved outcomes and postoperative quality of life.
Types of pelvic exenteration
Different modalities exist depending on which organs must be removed:
Posterior exenteration
Removal of the rectum and posterior reproductive organs, preserving the bladder and urinary system.
Total exenteration
Removal of all pelvic organs: rectum, bladder, uterus/prostate, and adjacent reproductive structures.
Extended exenteration
Also includes bony structures (sacrum, pubis) or lateral pelvic walls when affected.
Indications for pelvic exenteration
This surgery is indicated in the following situations:
Central pelvic recurrence
Recurrence of colorectal, gynecological, or urological cancer in the central pelvis after previous treatment.
Locally advanced tumor
Primary tumors infiltrating multiple pelvic organs but without distant metastases.
Tumor fistulization
Tumors that have created abnormal communications (fistulas) between pelvic organs.
Radiotherapy failure
Tumor persistence or recurrence after previous radical pelvic radiotherapy.
Reconstruction techniques
Reconstruction is a fundamental part of pelvic exenteration:
Urinary diversion
Creation of an ileal conduit (Bricker) or neobladder to divert urine when the bladder is removed.
Colostomy
Exteriorization of the colon to the abdominal wall when the rectum is removed, temporary or permanent.
Musculocutaneous flaps
Use of vascularized tissues (rectus abdominis, gracilis) to fill the pelvic defect and improve healing.
Vaginal reconstruction
In women, vaginal reconstruction using flaps to maintain function and anatomy.
Our experience in pelvic exenterations
At Quenet-Torrent Institute we have one of the largest experiences in pelvic exenteration in Spain. Our multidisciplinary team includes oncological surgeons, urologists, gynecological oncologists, plastic surgeons, and stomatherapists.
We perform an exhaustive evaluation of each case to determine surgical viability and plan the optimal strategy. We use advanced technology, including robotic surgery when applicable, to optimize oncological and functional outcomes.
Pathologies that may require pelvic exenteration
Pelvic exenteration is applied in advanced or recurrent tumors from various locations.
Colorectal tumors
Pelvic recurrences of rectal cancer.
More informationGynecological tumors
Locally advanced cervical, endometrial, or vaginal cancer.
More informationPelvic sarcomas
Retroperitoneal sarcomas with pelvic involvement.
More informationWhere do we perform pelvic exenteration?
We operate in two private hospitals of reference in Spain. The same medical team treats you in Madrid and Barcelona, with the same surgical and oncological standards.
Madrid
Memorial Publio Cordón Hospital
Private hospital in Pozuelo de Alarcón with a multidisciplinary team specialised in digestive surgical oncology and cutting-edge surgical technology.
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Barcelona
Centro Médico Teknon
Leading private hospital in Barcelona where the team carries out its high-complexity surgical oncology activity.
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