With over 18 years of distinguished clinical experience, Dr. Vijita Jayan is a highly accomplished Clinical Director and Rehabilitation Specialist, renowned for her expertise in neuro-rehabilitation, functional recovery, and mobility-dependent case management. Her extensive practical knowledge enables her to design and implement individualized, evidence-based rehabilitation protocols that consistently yield measurable patient outcomes. A prolific researcher and academic writer, she has authored numerous peer-reviewed articles and research papers, significantly advancing the field of rehabilitative medicine. The recipient of multiple prestigious accolades, Dr. Jayan is widely regarded as one of the foremost authorities in Physical Medicine and Rehabilitation, continually shaping neuro-rehabilitative care through research, innovation, and clinical excellence.

Reviewer

Dr. Ashish George

Gastroenterologist

18 Years of Experience

Last Reviewed - June 2026

Dr. Ashish George is one of the leading names in HPB surgery & liver transplantation and has about 18+ years of experience.He is a principal consultant & unit head of liver transplant at Fortis Shalimar Bagh.

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Centre International Carthage Medical

Monastir, Tunisia

120+ Beds · 98+ Procedures

Chirurgie Pro

La Marsa, Tunisia

59+ Procedures

Get Your Bladder Augmentation (Cystoplasty)
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Process Involved for Bladder Augmentation (Cystoplasty) in Tunisia

Diagnosis & Pre-Surgical Evaluation

Urology consultation and detailed medical history
Physical examination, blood tests, imaging studies (ultrasound, X-ray, CT/MRI)
Cystoscopy and urodynamic testing to assess bladder function
Assessment of kidney health and overall surgical fitness

Pre-Surgery Preparations

Review and adjustment of medications, including those affecting bleeding
Pre-anaesthesia evaluation and fasting before surgery
Discussion of the surgical approach (open or minimally invasive/robotic) and the bowel segment to be used

Procedure

Creation of an opening in the bladder
Removal and preparation of a segment of intestine
Attachment of the bowel segment to the bladder to increase capacity
Performed under general anaesthesia

Post-Surgical Recovery

Hospital monitoring, pain management, and catheter care
Gradual return to normal activities and bladder training
Monitoring for infection, leakage, or other complications

Long-Term Follow-Up

Regular urology follow-ups and kidney function monitoring
Ongoing bladder management and catheterisation guidance if needed
Lifestyle adjustments and long-term monitoring for metabolic or urinary complications

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Neurogenic bladder caused by spinal cord injury or neurological disorders
Congenital bladder abnormalities, such as bladder exstrophy or spina bifida
Severely reduced bladder capacity
A high-pressure bladder that may damage the kidneys
Severe urinary incontinence not responding to medications
Chronic bladder dysfunction requiring long-term catheterisation

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Standard (Open) Cystoplasty: Traditional open surgery to enlarge the bladder using a segment of the intestine.
Laparoscopic Cystoplasty: Minimally invasive approach using small incisions and a camera.
Robotic-Assisted Cystoplasty: Robot-guided minimally invasive surgery for enhanced precision and faster recovery.

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Patients with severe or chronic bladder dysfunction not responding to medications or catheterisation
Individuals with reduced bladder capacity or high-pressure bladders who risk kidney damage
Patients with urinary incontinence, frequent infections, or poor bladder muscle function
People who are medically fit for surgery based on overall health and urological evaluation

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Urodynamic studies for bladder function assessment
Cystoscopy for evaluation of bladder structure
Urinary catheter placement (temporary or long-term)
Creation of a catheterizable stoma (Mitrofanoff procedure), if required
Ureteric reimplantation in cases of reflux
Postoperative bladder irrigation and training procedures

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Increased Bladder Capacity
Improved Continence
Protection of Kidney Function
Enhanced Quality of Life
Enhanced Quality of Life
Reduced UTIs

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Increased bladder capacity and improved urine storage
Reduced urinary leakage and improved continence
Lower bladder pressure helps protect kidney function
Decreased urinary urgency, frequency, and bladder discomfort
Reduced risk of recurrent urinary tract infections in selected patients
Improved quality of life and daily independence
Better long-term bladder control with appropriate bladder training and follow-up

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