Bladder reconstruction aims to create a new bladder when the existing one malfunctions or requires removal to address another medical issue. During the procedure, the surgeon replaces the current bladder with a segment of the intestine to form a new bladder. Patients might need to use a catheter post-surgery to eliminate urine while the new bladder adjusts in size.
Potential Candidates for Bladder Reconstruction Surgery
Various conditions may necessitate bladder reconstruction, such as bladder cancer, urinary incontinence, bladder dysfunction due to radiation therapy or chronic diseases, congenital defects, or bladder trauma. Patients should consult their physician to determine if they’re suitable candidates for the procedure, considering alternative treatments if applicable.
How to Prepare for Bladder Reconstruction
Preparation for surgery may involve dietary restrictions, kidney function tests, and imaging scans to assess the urinary tract’s condition. Patients may need to receive instruction for self-catheterization prior to surgery in case they’re unable to urinate after the procedure. Under general anesthesia, the surgeon removes the existing bladder, reshapes intestinal tissue into a bladder, and reconnects it to the ureters and urethra, often using laparoscopic or robotic-assisted techniques.
The Recovery Process
Following surgery, patients will remain hospitalized for a period of three to five days. They will receive detailed written instructions from a nurse regarding wound care and the management of the catheter. Additionally, patients will be provided with a regimen for emptying the bladder and exercises aimed at strengthening the pelvic floor. Subsequent appointments will be essential to oversee the patient’s recovery progress and assess bladder functionality.
Post-surgery, patients may encounter challenges in controlling their bladder and may experience episodes of urinary incontinence until the newly constructed bladder reaches its optimal size and the supportive muscles attain increased strength. Typically, daytime bladder control improves within the initial six to 12 months post-surgery, while nighttime control may require up to two years to stabilize. Continuous, lifelong follow-up care will be indispensable to monitor the health of the bladder and urinary system.
Potential Risks of Surgery
Potential complications of bladder reconstruction include bleeding, intestinal issues, electrolyte imbalances, infection, urine retention, urinary leaks, blood clots, nutrient deficiencies, and urinary incontinence.
Choose UCI Pelvic Health Center for Bladder Reconstruction
If you’re considering bladder reconstruction, the UCI Pelvic Health Center offers comprehensive care and advanced treatment options tailored to your needs. Our expert team specializes in bladder reconstruction procedures, providing personalized care to help you regain bladder function and improve your quality of life. Our multidisciplinary approach ensures that you receive comprehensive treatment.