Bladder augmentation is surgery to make the bladder bigger.
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Bladder augmentation makes the bladder large enough to collect urine. It may be used to treat:
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
Things that may raise the risk of problems are:
The surgical team may meet with you to talk about:
General anesthesia will be used. You will be asleep.
Several small incisions will be made in the belly. A small tube with a camera on the end (laparoscope) will be inserted. This will help the doctor see inside the area.
An incision will be made on the top of the bladder. Other tools will be inserted. A piece of the intestine or stomach will be removed. The intestine or stomach will be repaired. Next, a piece of the intestine or stomach is attached to the bladder. This makes the bladder larger.
Sometimes, a small opening called a stoma is made. It goes from the belly wall to an opening that at the top of the bladder. This helps drain urine from the bladder. The incisions will be closed with stitches. A bandage will be placed over the site.
The doctor may need to change to an open procedure. If this happens, a larger incision will be made. The healing time will also be longer.
About 4 hours
Pain and swelling are common in the first few weeks. Medicine and home care help
The usual hospital stay is 3 to 5 days. If you have any problems, you will need to stay longer.
Right after the procedure, the staff may:
During your stay, staff will take steps to lower your chance of infection, such as:
You can also lower your chance of infection by:
It will take a month or more to recover. You may see some blood in the urine during this time.
Strenuous physical activity will also be limited.
Call your doctor if you are not getting better or you have:
If you think you have an emergency, call for medical help 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 January 4, 2021.
Bladder augmentation (enlargement). Urology Care Foundation website. Available at: http://www.urologyhealth.org/urologic-conditions/bladder-augmentation-(enlargement). Accessed January 4, 2021.
Bladder augmentation surgery FAQ. UCSF Benioff Children’s Hospital website. Available at: https://www.ucsfbenioffchildrens.org/education/bladder_augmentation_surgery/index.html. Accessed January 4, 2021.
Neurogenic bladder. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/neurogenic-bladder. Accessed January 4, 2021.
Nimeh T, Elliott S. Minimally invasive techniques for bladder reconstruction. Curr Urol Rep. 2018 Apr 13;19(6):39.
Last reviewed September 2020 by EBSCO Medical Review Board Adrienne Carmack, MD Last Updated: 1/4/2021