Bladder surgery can be used to treat various urinary problems; Problems such as incontinence and frequent urination, bladder prolapse and incontinence due to stress or nervous bladder (urination due to sneezing, coughing, activity, etc.) are recommended and performed. Bladder cancer is the most common cause for patients undergoing bladder surgery.
Nervous bladder is often caused by weakness of the pelvic floor muscles and the connective tissue that supports the bladder. Surgical procedures include colposcopy for bladder neck repair and bladder suspension surgery (also known as sling suspension surgery) to repair the pelvic floor.
Surgical procedures for urinary incontinence are rare. Urinary incontinence occurs when the walls of the bladder contract involuntarily, causing a person to feel the need to urinate. The result of this process is urinary incontinence. Other treatments, including medication, are often a priority, but bladder augmentation surgery is sometimes suggested as a last resort.
Bladder prolapse is the protrusion of the pelvic organs into the vaginal canal and even out of the vagina. This problem occurs when the pelvic floor becomes weak or damaged. There are different surgical procedures depending on which organ is drooping, the patient’s age, and whether or not he or she wants to preserve the uterus. Most procedures involve repairing the parts that support the vaginal wall.
Bladder surgery can be performed to remove cancerous tissue and tumors of the bladder wall. Sometimes bladder cancer may be so advanced that only parts of the bladder are removed (partial cystectomy), but if the cancer is too advanced, the bladder is completely removed. Complete bladder resection is called a radical cystectomy, and often requires additional reconstructive surgery to divert the urethra.
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Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for about 3 weeks, or until your doctor says it is okay. For about 3 weeks, avoid lifting anything that would make you strain.
Since cystectomy is a surgery not just to remove the bladder but also to create a urinary diversion, the surgery includes additional risks, such as: Dehydration. Electrolyte abnormalities. Urinary tract infection.
Neobladder reconstruction, also called orthotopic neobladder reconstruction, is one option for urinary diversion. During the procedure, your surgeon uses a piece of intestine to create a new bladder that allows you to urinate voluntarily and maintain continence.
People who have a tumor that has not spread to the urethra and who are in good health may be candidates for this surgery. To create a neobladder, doctors use a segment of the small intestine that is three to four times longer than the segment needed to create an ileal conduit.
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