Bladder Augmentation-Open Surgery
(Augmentation, Bladder—Open Surgery; Augmentation Cystoplasty—Open Surgery; Cystoplasty, Augmentation—Open Surgery)
|The Urinary Tract|
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Reasons for Procedure
- An overactive bladder—bladder muscle contracts when it does not need to, leading to urine leakage
- A neurogenic bladder —problems with nerve signals leading to the brain and muscles, leading to urine leakage or retention
- Excess bleeding
- Reaction to anesthesia
- Blood clots
- Bladder rupture
- Abdominal pain
- Urinary incontinence (may be for a short time or require more surgery to fix)
- Increased risk of kidney stones
What to Expect
Prior to Procedure
- Order tests, like blood and urine tests, x-rays , ultrasounds , and bladder pressure studies
Talk to you about your medicines—You may be asked to stop taking some medicines up to one week before the surgery, like:
- Aspirin and other nonsteroidal anti-inflammatory drugs (eg, ibuprofen , naproxen )
- Blood-thinning drugs, such as warfarin
- Eat a low-fiber diet .
- Take antibiotics.
- Cleanse your bowel—You will drink a special liquid that causes loose stool. The liquid may also be given through a tube placed in the nose down to the stomach.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Give you fluids and nutrients through an IV—You will not be able to eat until your intestines are working normally. This may take several days. When you are ready, the tube in your nose will be removed. You will begin to take fluids by mouth. You will slowly progress to soft foods.
- Have you take deep breaths to keep your lungs clear
- Prompt you to walk
- Teach you how to insert the catheter through the urethra or through the stoma—Depending on your recovery, the catheter that was placed during surgery may be removed before you go home. If so, you will be taught how to catheterize yourself at home using a tube.
- Teach you how to irrigate (wash out) the bladder using a saline (salt water) solution and a catheter
- Take medicine as instructed.
- Clean the incision areas with warm water and gentle soap.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Eat a healthy diet and drink plenty of fluids.
- If you have a catheter, follow the instructions for taking care of it. You may see bloody urine for a few weeks.
- If you are catheterizing yourself, carefully follow the guidelines for emptying your bladder.
- Irrigate the bladder as instructed. This is especially important if you have a piece of the intestine attached to your bladder. The intestine patch will continue to make mucus. This can clog the catheter tube.
- Do not drive or do difficult physical activities until the doctor gives you permission.
- Return to the doctor in 3-4 weeks for x-rays of the bladder.
- Follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, such as fever and chills
- Redness, swelling, increasing pain, bleeding, or discharge from the incision and/or stoma site
- Nausea and/or vomiting
- Abdominal pain
- Little urine output, extreme cloudiness or pus in the urine, a bad odor to the urine
- Difficulty with catheterizing or irrigating
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.niddk.nih.gov/
Urology Care Foundation http://www.urologyhealth.org/
Canadian Urological Association http://www.cua.org/
Health Canada http://www.hc-sc.gc.ca/index%5Fe.html/
Bladder augmentation. Case Western Reserve University/MetroHealth Medical Center website. Available at: http://www.chrp.org/empowering/ba.shtm . Accessed December 12, 2012.
Bladder augmentation. Children’s Hospital Boston website. Available at: http://www.childrenshospital.org/az/Site2091/mainpageS2091P0.html . Accessed December 12, 2012.
Bladder augmentation. UrologyHealth.org website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=56 . Updated January 2011. Accessed December 12, 2012.
Bladder augmentation surgery FAQ. UCSF Benioff Children’s Hospital website. Available at: http://www.ucsfbenioffchildrens.org/education/bladder%5Faugmentation%5Fsurgery/index.html . Accessed December 12, 2012.
Continent stomas. Case Western Reserve University/MetroHealth Medical Center website. Available at: http://www.chrp.org/empowering/cs.shtm . Accessed December 14, 2012.
6/6/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Adrienne Carmack, MD
- Review Date: 12/2012 -
- Update Date: 12/14/2012 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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