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.
An incision will be made in the belly. An incision will also be made on the top part of the bladder. A part of the intestine or stomach will be removed and placed over the opening in the bladder. This new part will work like a patch to make the bladder bigger. The doctor will sew it into place. The intestine or stomach will be repaired. The incisions will be closed with stitches. A bandage will be placed over the site.
A small opening called a stoma may also be made. It goes from the belly wall to an opening that at the top of the bladder. This helps drain urine from the bladder.
4 to 8 hours
Pain and swelling are common in the first few weeks. Medicine and home care help.
The usual stay is 6 to 10 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.
Jaggi, A and Fatoye, F. Real world treatment patterns in the neurogenic bladder population: a systematic literature review. Transl Androl Urol. 2017 Dec; 6(6): 1175–1183.
Neurogenic bladder. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/neurogenic-bladder. Accessed January 4, 2021
Last reviewed September 2020 by EBSCO Medical Review Board Adrienne Carmack, MD