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Clam Cystoplasty

What is clam cystoplasty?

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).

Clam cystoplasty is a procedure that involves the enlargement of the bladder using a section of the small intestine. This surgery is mainly indicated for the following:

  • Increase bladder capacity
  • Protect your kidney from the high pressure of the bladder
  • Reduce frequent urination

How is the procedure performed?

Clam cystoplasty is performed under general anesthesia and takes about 3 to 5 hours. Prior to the surgery your bowels will be completely emptied with the help of laxatives. Your surgeon may make a vertical incision in the lower half of your abdomen or a horizontal curved incision at the bikini line to expose your bladder. The bladder wall is cut almost completely to form two halves that resemble clam shells. This prevents the generation of high pressure with every contraction of the bladder. A patch of tissue is excised from the intestine (along with the blood vessels) and sutured to the bladder.

Drains are placed in order to remove excess blood and drain urine for a few weeks. You will be discharged after about 7 to 14 days. A catheter will remain in your bladder for up to 4 weeks to help you pass urine while your bladder is healing.

What risks and complications are involved?

Like all surgeries, clam cystoplasty may involve complications such as:

  • Problems with emptying your bladder
  • Mucous accumulation in urine
  • Urinary tract infection
  • Incontinence

For further information regarding Clam Cystoplasty, please contact NMC UroCare at http://www.nmcurocare.ae/contact-us/