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Welcome to NMC Urocare

Bladder Augmentation

What is augmentation?

The urinary bladder is an expandable balloon-like organ that receives urine from the kidneys and stores it until it can be conveniently expelled to the outside. Sometimes, the bladder is not big enough, or is too stiff and cannot completely expand to hold the normal amount of urine produced by the kidneys. If this condition is not treated, urine may leak from the bladder (incontinence) or back up towards the kidneys (reflux).

Augmentation is a procedure used to enlarge the bladder, lower the pressure created inside the bladder or enhance its ability to stretch so in order to accommodate the complete volume of urine produced.

How is the procedure performed?

Augmentation is performed under general anesthesia and takes about 4 to 8 hours. Prior to performing the procedure, blood and urine tests, and bladder pressure tests are ordered.

During the procedure, your surgeon makes an incision in the abdomen and the upper part of the bladder. A small part of your intestine or stomach is excised and sutured to the bladder. This patch of tissue acts as the extended part of the bladder, thus increasing its size. The intestine or stomach is reconnected to restore the normal bowel function. Your surgeon makes a small opening at the top of the bladder through the abdomen (stoma) to insert a catheter (narrow tube) to drain out urine.

After the surgery, you will be given pain medications, fluids and antibiotics. You will be discharged from the hospital after 6 to 10 days once you have recovered completely.

What are the risks and complications?

Like all surgical procedures, augmentation may be associated with a few complications, such as:

  • Infection
  • Bleeding
  • Blood clots
  • Abdominal pain
  • Bladder rupture
  • Increase in risk of kidney stones, osteoporosis, cancer and urinary incontinence

Factors such as drinking and smoking can further increase the risk of such complications.

For further information regarding the Augmentation procedure please contact NMC Urocare at http://www.nmcurocare.ae/contact-us/