Bladder Reconstruction in Delhi & Gurgaon
Neobladder Reconstruction Surgery: Procedure, Candidacy, and Recovery
Illustration showing normal vs. duplex kidney anatomy
What is Bladder Reconstruction?
Neobladder reconstruction surgery is a type of urinary reconstruction and diversion to replace a diseased or nonfunctioning urinary bladder. The procedure creates a new bladder (neobladder) to store and remove urine (pee) from your body.
Healthcare providers first remove your bladder (cystectomy) as part of your treatment plan. Then, they use a piece of your small intestine to create a new bladder (urinary diversion) in the same location as your original bladder.
Not everyone is a candidate: Your healthcare team will determine your candidacy according to several factors, including how healthy your liver and kidneys are and whether you have urethral cancer.
Another name for neobladder reconstruction is orthotopic neobladder reconstruction. "Orthotopic" means the neobladder will be in the same position in your body as your original bladder.
Why would you need bladder reconstruction?
A healthcare provider may recommend neobladder reconstruction to treat conditions that affect the health or functionality of your bladder, including:
This can happen after radiation therapy or because of brain or spinal cord conditions (neurogenic bladder).
Medical Team
What type of healthcare provider performs neobladder reconstruction?
A special team of healthcare providers performs neobladder reconstruction. Your team generally consists of:
Urologist
Specialist in urinary system surgery
Anesthesiologist
Manages anesthesia and pain control
Nurses
Provides preoperative and postoperative care
Surgical Procedure
What happens during neobladder reconstruction surgery?
During neobladder reconstruction surgery, your healthcare team will:
Administer Anesthesia
Give you general anesthesia. You'll be asleep for the procedure and won't feel any pain.
Bladder Removal
Remove your bladder through a large cut (incision) or several smaller cuts (robotic surgery) they make in your abdomen.
Create Neobladder
Isolate a part of your small intestine and form it into a ball-like (spherical) shape. This is your neobladder.
Position Neobladder
Place your neobladder in the space that your original bladder had previously occupied.
Reconnect Urinary System
Attach your ureters and urethra to the neobladder.
Reattach Intestines
Reattach the sections of your small intestines.
Insert Surgical Drain
Possibly insert a surgical drain to help remove blood or fluid from your body.
Close Incision
Use sutures (stitches), surgical staples or both to close your incision(s).
Insert Catheter
Insert a urinary catheter into your urethra to drain pee while you heal.
Key Takeaways
Procedure Overview
- • Replaces diseased/nonfunctioning bladder
- • Uses small intestine to create neobladder
- • Orthotopic placement (same position)
- • Requires cystectomy first
Candidacy & Considerations
- • Not suitable for everyone
- • Requires healthy liver/kidneys
- • No urethral cancer presence
- • Complex surgical procedure