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Bladder augmentation is performed to increase bladder capacity and reduce elevated bladder pressure in patients with bladder dysfunction due to neurological or spinal conditions. It helps control urine leakage, relieve urgency and pain, protect the kidneys from damage, and improve bladder function, especially for patients with long-term bladder emptying difficulties who require self-catheterisation.
If you experience ongoing urinary leakage, frequent urgency, bladder pain, difficulty holding urine, repeated urinary tract infections, or reduced bladder capacity that does not improve with medication or catheterisation, you should consult a urologist to discuss the possibility of Bladder Augmentation (Cystoplasty).
You will see a doctor for a comprehensive evaluation before to bladder augmentation, which will include a physical examination, blood tests, imaging investigations, cystoscopy, and urodynamic testing. All prescription, over-the-counter, and herbal medications you take should be disclosed to your doctor because some medications, including aspirin, anti-inflammatory medicines, and specific supplements, may need to be stopped in order to lower the risk of bleeding.
Bladder augmentation is performed either through an open abdominal incision or using a minimally invasive robotic approach. During the procedure, the surgeon creates an opening at the top of the bladder and removes a section of the small or large intestine. This bowel segment is then opened, reshaped, and attached to the bladder to increase its size. The bladder and bowel are carefully stitched together to form a larger, low-pressure bladder. After surgery, tubes are placed in the bladder and abdomen to allow continuous drainage and flushing while the bladder heals.
A bladder augmentation typically takes two to six hours.
Following Bladder Augmentation (Cystoplasty), patients typically remain in the hospital for several days for close monitoring. Recovery focuses on pain management, proper catheter care, gradual reintroduction of normal activities, and regular follow-up visits. Full bladder function and adaptation may take additional time, depending on individual healing and overall health, but most patients can resume daily routines within a few weeks.
Bladder augmentation is generally associated with favourable outcomes in appropriately selected patients. Most individuals experience meaningful improvements in bladder capacity and urinary continence, leading to a better quality of life. Results may vary based on the underlying condition and surgical technique, and long-term follow-up is essential to monitor outcomes and manage potential complications.
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