Bladder augmentation surgery increases bladder size. It can be done laparoscopically.
The Urinary Tract
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Bladder augmentation surgery makes the bladder large enough to collect urine. When the bladder is too small, it can cause urine to leak out of the body (incontinence) or back up into the kidneys (reflux). This can cause a kidney infection and damage the kidneys. This procedure is used to treat serious cases of incontinence after other treatments have failed.
Birth defects and other conditions, like chronic obstructive bladder damage, can cause the bladder to be too small.
Surgery may also be done if you have:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Your doctor will:
Before surgery, your doctor may recommend that you:
General anesthesia will be used. It will block pain and keep you asleep.
The doctor will make several small, keyhole incisions in the abdomen. A laparoscope will be inserted. This gives the doctor a clear view of the inside of the abdomen.
An incision will be made on the top part of the bladder. The doctor will use tools, like clips and staplers, to remove a piece of the intestine or stomach. After this piece is cut out, a suturing device will be used to close the incision. Next, the doctor will attach the piece of the intestine or stomach to the bladder.
In some cases, the doctor will also create a stoma. This is a small opening through the abdominal wall to an opening that is made at the top of the bladder. These openings will make it easier for you to insert the catheter into the bladder.
Depending on the method your doctor uses, a combination of open and laparoscopic procedures may be done. If you do need open surgery, you will have a larger incision and a longer recovery time.
A catheter will be left in place to drain urine from the bladder.
You may be given fluids, pain medications, and antibiotics through an IV. A tube will be placed through your nose to your stomach. This tube will keep your stomach drained of any contents. This will stay in place until your stomach and intestines begin working normally again.
About four hours
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
The usual hospital stay is 3-5 days. If you have any problems, you will need to stay longer.
After your procedure, the hospital the staff will:
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
There are also steps you can take to reduce your chance of infection, such as:
Once you leave the hospital, do the following to help ensure a smooth recovery:
Call your doctor if any of these occur:
If you think you have an emergency, call for medical help right away.
National Kidney and Urologic Diseases Information Clearinghouse
Urology Care Foundation
Canadian Urological Association
Bladder augmentation. Case Western Reserve University/MetroHealth Medical Center website. Available at: http://www.chrp.org/empowering/ba.shtm. Accessed August 8, 2013.
Bladder augmentation. Children’s Hospital Boston website. Available at: http://www.childrenshospital.org/az/Site2091/mainpageS2091P0.html. Accessed August 8, 2013.
Bladder augmentation (enlargement). Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=56. Updated January 2011. Accessed August 8, 2013.
Bladder augmentation surgery FAQ. UCSF Benioff Children’s Hospital website. Available at: http://www.ucsfbenioffchildrens.org/education/bladder_augmentation_surgery/index.html. Accessed August 8, 2013.
Continent stomas. Case Western Reserve University/MetroHealth Medical Center website. Available at: http://www.chrp.org/empowering/cs.shtm. Accessed August 8, 2013.
Docimo S. Laparoscopic bladder augmentation: state of the art. Pediatric Endosurgery & Innovative Techniques. 2000;4(3):207-211.
Endoscopic clip application devices. American Society for Gastrointestinal Endoscopy website. Available at: http://www.asge.org/assets/0/78/88/090e3f1186fe4bc194845c2dbaa48c7e.pdf. Published 2006. Accessed August 8, 2013.
Sweeney DD, Smaldone MC, et al. Minimally invasive surgery for urologic disease in children. Nat Clin Pract Urol. 2007 ;4(1):26-38.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed May 2014 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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