The urine capacity of the bladder may be decreased immediately after surgery, but usually it will eventually return to full capacity. Radical Cystectomy - This type of surgery has more extensive side effects than the other surgical options. There can be complications associated with the urostomy or continental diversion procedures that allow for urination after bladder removal. Wound infection is always a possibility and there is the inconvenience of emptying the bag or sac. Males are no longer able to father children and sometimes experience impotence after surgery.
Females are no longer able to bear children because the uterus is removed during surgery.
Also, the removal of part of the vagina can make sexual intercourse difficult. Most side effects are temporary and can often be relieved with medication.