Laparoscopic cystectomy with ileal conduit else say neobladder formation is a surgery that is used to surgically remove the bladder. Usually the surgeon uses a scope that is inserted via small incision into the abdomen to do the surgery. The surgeon will also use a small section of patient’s intestine to create an ileal conduit that is urostomy. Henceforth, this will allow the urine to pass from the kidneys over an opening at the abdomen and then out of the body. This opening is known as stoma, and is then connected to a bag that will collect the urine.
Measures to get prepared for the surgery:
• Primary care provider will tell you about your eating and drinking schedule before the surgery.
• Assigned surgeon will decide your medicine intake, which medicine to take and which to avoid.
• Preventive blood clot medicines and infection resistant medicines will be provided.
• Blood or urine tests, ECG, or X-rays or a CT scan of your kidneys, bladder, or ureters will be done.
• General anesthesia will be given, to keep the patient free from pain.
• Insertion of a scope from a small incision will be done into the abdomen of the patient. Removal of the bladder will be done, and also the nearby tissues or organs will be removed.
• Removal of the part of patient’s intestine will be done. He will then connect the ureter to an opening called stoma in the abdomen. Small tubes/stents, two in number will be placed inside the ureters to aid in the draining of the urine during the process of healing.
After the procedure:
• You will be helped to walk around after surgery.
• Medicines may be given to manage pain.
• Stoma might get swelled or painful
• Urine may leak
• Possibility of kidney stones
• Ureters may become blocked and not empty urine
• Intestines may also stop working
• Difficult to have a bowel movement
• Development of a blood clot in your leg or arm