Increasing the size of the bladder – Cistoplastika- open surgery

Description increase the bladder

This is an operation to increase the size of the bladder.

Reasons for increase in bladder

The operation increases to the size of the bladder, sufficient to collect urine. When the bladder is too small, urine may flow out of the body (urinary incontinence) or get back into the kidneys (Reflux). This may lead to kidney infection and kidney damage. The procedure is used to treat severe forms of urinary incontinence if other treatments have been unsuccessful.

Small size mocherogo bladder can be caused by birth defects and certain diseases, such as chronic obstructive bladder injury.

Surgery may also be done in the presence of the following disorders:

• Overactive Bladder – the muscle of the bladder is reduced when it is not needed, which leads to leakage of urine;
• Neurogenic bladder – problems with the passage of nerve signals, going to the brain and muscles, which leads to leakage or retention of urine.

Possible complications by increasing the size of the bladder

Complications are rare, but no operation ensures no risk. Before, how to perform the operation, you need to know about possible complications, which may include:

• Bleeding;
• Reaction to anesthesia;
• Infection;
• The formation of blood clots (blood clots);
• Rupture of the bladder;
• Abdominal pain;
• Urinary incontinence (It may be temporary or require a second operation to remove);
• Increased risk of kidney stones.

Factors, that may increase the risk of complications:

• Smoking.

How is surgery to increase the size of the bladder?

Preparing for Surgery

The doctor may prescribe the following:

• Order blood tests and urine tests, X-ray, ultrasound study bladder pressure;
• It may be necessary to stop taking some medicines:
  • Aspirin or other anti-inflammatory drugs;
  • Blood thinners, eg, clopidogrel (Plaviks) or warfarin.

Before surgery, your doctor may recommend:

• Eating foods low in fiber;
• Take antibiotics;
• Open the bowels – drink a special liquid, which causes loose stools. The liquid can also be administered through a tube, inserted into the stomach through the nose.

Anesthesia

During the operation using general anesthesia. During the operation, the patient is asleep.

Description of the procedure

The doctor makes an incision in the abdominal cavity. Further incision will also be placed on top of the bladder. Part of the intestine or the stomach is removed and sewn into the openings in the bladder, increasing its size. The doctor sews the surgical site.

The doctor may also create a stoma. This small hole in the abdominal wall and bladder, which will insert the catheter to drain urine.

Immediately after surgery

To drain urine from the bladder catheter will be inserted.

The patient may enter through the flow of fluid and electrolytes, Painkillers, antibiotics. Through the nose into the stomach will be placed drainage tubes to drain the stomach contents. They will remain until, until the stomach and intestines begin to work as usual.

How long does the surgery?

Operation takes from four to eight hours.

Will it hurt?

Anesthesia will prevent pain during surgery. To facilitate postoperative pain painkillers are administered to the patient.

The time spent in hospital

Typically, the duration of hospitalization 6-10 days. If complications arise, length of stay in the hospital can be extended.

Postoperative care after surgery to increase the size of the bladder

In the hospital

• The hospital staff does the following:
  • Grants through the IV fluids and nutrients, because the patient can not take food, until the bowel does not work properly. It may take several days, after which the patient can begin to eat light food;
  • It helps patients with walking;
  • Teaches, inserting a catheter through the urethra or through the stoma – depending on the speed of recovery catheter, that was inserted during the operation can be removed before discharge. If this was done, you need to know, inserting a catheter at home;
  • Teach, how to wash the bladder with physiological saline (salt water) and catheter;
• You must breathe deeply, easy to keep clean.

Nursing homes

When you return home, you need to perform the following actions, to ensure the normal recovery:

• Take the medication as instructed;
• Wash the area around the incision site with lukewarm water and mild soap;
• We need to ask the doctor about, when it is safe to shower, bathe or expose the surgical site to water;
• Eat healthy foods and drink plenty of fluids;
• If the patient has a catheter installed, you need to follow the instructions to care for him. Within a few weeks in the urine can be observed blood;
• If the patient has a catheter installed, you need to carefully follow the instructions for emptying the bladder;
• Optionally washed bladder in accordance with the instructions. This is particularly important, if the increase in bladder used part of the intestine. The intestines can produce mucus for some time, which may clog the catheter tube;
• The patient can not without the permission of the doctor to drive or to expose themselves to stress;
• You must come to the doctor through 3-4 weeks after operation the X-ray examination of the bladder.

It is necessary to go to the hospital in the following cases

• There are signs of infection (fever, chills);
• Redness, edema, increased pain, bleeding or discharge from the incision and / or stoma;
• Nausea and / or vomiting;
• Abdominal pain;
• Poor urination, opacity, or the presence of pus in the urine, bad smell of urine;
• The difficulties with catheterization or bladder washing.