Augmentation Bladder - Ileocystoplasty

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This procedure is seldom used today, with the more frequent use of Sacro-neuro-modulation and Intravesical BOTOX
This procedure is done to enlarge a bladder, especially in the spinal patient with a small contracted overactive bladder.
It can also be done as last resort in small overactive bladder after all other medical options have failed.

A General anaesthetic will be given
You would have had bowel preparation for 3 days prior to surgery.
A sterile surgical field is prepared
Prophylactic antibiotics are given.
An indwelling catheter is inserted and the bladder is then distended with fluid (saline).
A lower abdominal incision is made, splitting the linea alba.
A 15-20cm segment of the terminal ileum is isolated and removed from the rest of the intestinal tract on its vascular pedicle.
A watertight anastomosis of the bowel ends are done and tested.
The bladder is then bi-valved.
The 15cm of ileum is opened on the anti-mesenteric edge and the bowel in cleaned.
The ileum-segment is then sewn on to the bi-valved bladder.
A 3-way catheter is placed
A drain is left.
The abdomen and skin is closed
A catheter will be left for 2 weeks

Side–effects

What next?

You will spend up to 5-7 nights in hospital.
You will have a catheter for 14 days.
A drain for 2-3 days.
You will be discharged as soon as you are drain free, temperature free and have opened your bowels.
You may initially suffer from urge symptoms caused by the catheter.
There may be some blood in your urine. You can remedy this by drinking plenty of fluids until it clears.
A ward prescription will be issued on your discharge, for your own collection at any pharmacy
A follow-up appointment will be scheduled for 2 weeks for a cystogram.
Should the cystogram confirm to urine leaks, your catheter will be removed.
A review appointment is scheduled 6 weeks later
Don’t hesitate to ask Jo if you have any queries
DON’T SUFFER IN SILENCE, OR YOU WILL SUFFER ALONE!

Augmentation Bladder – Ileocystoplasty