Bladder augmentation makes the bladder bigger.
Copyright © Nucleus Medical Media, Inc.
Bladder augmentation makes the bladder large enough to collect urine. When the bladder is too small, it can cause urine to leak out of the body or back up into the kidneys. This can cause an infection in the urinary tract, causing harm to the kidneys. It’s also used when other care methods fail.
Problems, such as long term blockage or birth defects, can cause the bladder to be too small.
Problems from the procedure are rare, but all have some risk. Your doctor will review potential problems such as:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
You may have:
Talk to your doctor about the medicines you take. You may need to stop them up to 1 week prior to the procedure.
Before surgery, your doctor may advise you:
General anesthesia—will block pain and keep you asleep
Several small, keyhole incisions will be made in your belly. A laparoscope will be inserted. This gives the doctor a clear view of internal structures.
An incision will be made on the top part of the bladder. Small surgical tools remove a piece of the intestine or stomach. After removal, the area will be stitched. Next, a piece of the intestine or stomach will be attached to the bladder.
In some cases, a small opening called a stoma will be made. The stoma comes through the belly wall to an opening that is made at the top of the bladder. These openings help make it easier to insert the catheter.
Your doctor may need to change to an open procedure. If this happens, you will have a larger incision. The healing time takes longer as well.
A catheter will be left in place to drain urine from the bladder.
You may be given fluids, pain medicines, and antibiotics. This may be done through an IV. A tube will be placed through your nose to your stomach. This tube will keep your stomach drained. This will stay in place until your stomach and intestines begin working normally again.
About 4 hours
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medicines.
The usual hospital stay is 3-5 days. If you have any problems, you will need to stay longer.
The healthcare staff will:
During your stay, the healthcare staff will take steps to lower your chance of infection such as:
There are also steps you can take to lower your chance of infection such as:
To help you get healthier faster:
Call your doctor if any of these occur:
If you think you have an emergency, call for emergency medical services right away.
National Institute of Diabetes and Digestive and Kidney Diseases
Urology Care Foundation
The Kidney Foundation of Canada
Bladder augmentation. Boston Children’s Hospital website. Available at: http://www.childrenshospital.org/conditions-and-treatments/treatments/bladder-augmentation. Accessed June 13, 2018.
Bladder augmentation (enlargement). Urology Care Foundation website. Available at: http://www.urologyhealth.org/urologic-conditions/bladder-augmentation-(enlargement). Accessed June 13, 2018.
Bladder augmentation surgery FAQ. UCSF Benioff Children’s Hospital website. Available at: https://www.ucsfbenioffchildrens.org/education/bladder_augmentation_surgery/index.html. Accessed June 13, 2018.
Sweeney DD, Smaldone MC, Socimo SG. Minimally invasive surgery for urologic disease in children. Nat Clin Pract Urol. 2007;4(1):26-38.
Technology Assessment Committee, Chuttani R, Barkun A, et al. Endoscopic clip application devices. Gastrointest Endosc. 2006;63(6):746-750.
6/2/2011 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T905141/Treatment-for-tobacco-use: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.
Last reviewed June 2018 by EBSCO Medical Review Board Adrienne Carmack, MD Last Updated: 6/13/2018