(Augmentation, Bladder—Laparoscopic Surgery; Augmentation Cystoplasty—Laparoscopic Surgery; Cystoplasty, Augmentation—Laparoscopic Surgery)
|The Urinary Tract|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- An overactive bladder—bladder muscle contracts when it does not need to, causing urine leakage
- A neurogenic bladder—problems with nerve signals leading to the brain and muscles, causing urine leakage or retention
- Excess bleeding
- Reaction to anesthesia
- Blood clots
- Nausea and vomiting
- Bladder rupture
- Abdominal pain
- Switching to open surgery
- Urinary incontinence—may be temporary or require more surgery to fix
- Increased risk of kidney stones
What to Expect
Prior to Procedure
- Order tests, such as blood and urine tests, x-rays, ultrasounds, and bladder pressure studies
Talk to you about your medications. You may be asked to stop taking some medications up to one week before the surgery, like:
- Anti-inflammatory drugs
- Blood thinners
- Eat a low-fiber diet.
- Take antibiotics.
- Cleanse your bowel—You will drink a special liquid that causes loose stool. The liquid may 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
- Encourage 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 the bladder using a salt water solution and a catheter
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- Take medications as directed.
- 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.
- 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 directed. 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 says it is okay.
- Return to the doctor in 3-4 weeks for x-rays of the bladder.
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, pus in the urine, or 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
Bladder augmentation. Case Western Reserve University/MetroHealth Medical Center website. Available at: http://www.chrp.org/empowering/ba.shtm. Accessed August 8, 2013.
Bladder augmentation. Children’s Hospital Boston website. Available at: http://www.childrenshospital.org/az/Site2091/mainpageS2091P0.html. Accessed August 8, 2013.
Bladder augmentation (enlargement). Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=56. Updated January 2011. Accessed August 8, 2013.
Bladder augmentation surgery FAQ. UCSF Benioff Children’s Hospital website. Available at: http://www.ucsfbenioffchildrens.org/education/bladder%5Faugmentation%5Fsurgery/index.html. Accessed August 8, 2013.
Continent stomas. Case Western Reserve University/MetroHealth Medical Center website. Available at: http://www.chrp.org/empowering/cs.shtm. Accessed August 8, 2013.
Docimo S. Laparoscopic bladder augmentation: state of the art. Pediatric Endosurgery & Innovative Techniques. 2000;4(3):207-211.
Endoscopic clip application devices. American Society for Gastrointestinal Endoscopy website. Available at: http://www.asge.org/assets/0/78/88/090e3f1186fe4bc194845c2dbaa48c7e.pdf. Published 2006. Accessed August 8, 2013.
Sweeney DD, Smaldone MC, et al. Minimally invasive surgery for urologic disease in children. Nat Clin Pract Urol. 2007 ;4(1):26-38.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. 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: 05/2014 -
- Update Date: 05/28/2014 -