Augmentation Cystoplasty (Bladder Augmentation)

The bladder is an organ that holds urine, one such surgery to increase the size of the bladder is bladder augmentation also known as augmentation cystoplasty.

Certain health problems that leads to this surgery are:

• Incontinence
• Stretching of the muscles of the bladder is not normal, that enhances the pressure while urinating. This causes kidney reflux, in turn causing kidney infections and damage the kidneys.
• Spasticity of the bladder that is stiffness in the bladder.
• Shrinking of the bladder

Procedure:

• It is an abdominal surgery, that lets the surgeon to make an incision in the patient’s abdomen so as to reach the bladder.
• After the incision is made, surgeon cuts open the bladder at the top most surface and prepare it for enlarging.
• Surgeon then eliminates a section of the small or large intestine; de-tubularizes that link of bowel, and attaches it to the top of the bladder. The bladder and the bowel are then stitched together to make the bladder larger and bigger.
• Range of stay in hospital is approximately 5-7 days.

Precautions:

• Patient won’t be able to drink or eat for few days and will receives IVs.
• Irrigation of the mucous out of the bladder will be taught by the doctor and nurses.
• Mucous can form stones, so irrigation of the mucous should be done on regular basis.
• Mucous generation and retention might cause infection in the urinary tract.
• Follow up- After three weeks, radiology test will be done to make sure the larger bladder is not leaking.
• After six weeks of the surgery the patient can resume his normal routine.
• Self-catheterisation is taught precisely and compulsorily for this procedure to the patient.