What Is a Neobladder?
This procedure is most commonly performed in patients undergoing bladder removal because of bladder cancer. When appropriate conditions are met, patients can urinate without the need for a permanent external urine collection bag, helping to maintain a better quality of life.
Why Is a Neobladder Created?
A neobladder is considered when the bladder has lost its function or must be surgically removed.
Conditions that may require a neobladder include:
- Muscle-invasive bladder cancer
- Tumors requiring complete bladder removal
- Certain congenital bladder abnormalities
- Severe bladder damage
- Some bladder diseases that do not respond to treatment
Not every patient is a suitable candidate for a neobladder. Therefore, a comprehensive evaluation is required before surgery.
How Is Neobladder Surgery Performed?
Neobladder surgery is typically performed together with a radical cystectomy (bladder removal procedure).
During the operation, a segment of the small intestine is reshaped using specialized surgical techniques to create a new urine reservoir. This newly formed reservoir is then connected to the ureters and the urethra.
As a result, urine produced by the kidneys is stored in the newly created bladder, allowing the patient to urinate naturally.
The procedure may be performed using open surgery, laparoscopic surgery, or robotic-assisted surgery.
What Is Robotic Neobladder Surgery?
Robotic-assisted neobladder surgery has become increasingly popular in recent years.
Robotic technology enables surgeons to perform the procedure with greater precision while helping to preserve surrounding tissues and structures.
Advantages of robotic neobladder surgery include:
- Smaller surgical incisions
- Reduced blood loss
- Less postoperative pain
- Shorter hospital stay
- Faster recovery
- Earlier return to daily activities
Advantages of a neobladder include:
Ability to urinate through the natural urinary pathway
Elimination of the need for a permanent external urine bag
Better preservation of social and daily activities
Maintenance of body image and appearance
Improved overall quality of life
Potential risks include:
Bleeding
Infection
Urine leakage
Temporary bowel dysfunction
Urinary tract infections
Urinary incontinence
Metabolic imbalances
These risks may vary depending on the patient's overall health and the surgical technique used.
Recommendations after neobladder surgery include:
Attending regular follow-up appointments
Drinking adequate amounts of fluids
Paying attention to urinary habits
Performing recommended exercises
Taking prescribed medications as directed
Seeking medical attention promptly if signs of infection occur
Expertise and Experience: Dr. Fettah Tosun has specialized in artificial bladder surgeries with many years of experience in the field of urology.
Comprehensive Support: Dr. Tosun provides full support to his patients before and after surgery and is with you at every stage of the treatment process.
Modern Approaches: The most up-to-date surgical techniques and modern approaches are used in artificial bladder surgeries.
Appointment and Consultation
If you would like to learn more about artificial bladder surgery or evaluate your treatment options, you can schedule an appointment with Dr. Fettah Tosun. Take the right step for your urological health and consult a trusted specialist.