Surgery after bladder cancer can affect your sex life and your sexuality. If the cancer has gotten out of control and invasive surgery is necessary, you may have to have the entire bladder removed. This is called a radical cystectomy. Along with removing the cancerous bladder, lymph nodes and reproductive organs may be removed, leaving you infertile. Men will most likely have their prostate and seminal vesicles surgically removed. There may be some nerve damage, making it difficult to have an erection. Young women may start feeling the symptoms of menopause after removal of the uterus, ovaries, fallopian tubes, and even part of the vagina.
After reconstructive surgery, the presence of the urostomy bag (put in place to collect urine after the bladder has been removed) may make you feel self-conscious, especially in sexual situations. You may need some counseling to deal with the feelings you are having and to help you get through anxious times.