Bladder Augmentation-Open Surgery

Bladder augmentation is surgery to increase bladder size.

  • Call Your Doctor

    Call your doctor if any of these occur:

    • Signs of infection, such as fever and chills
    • Redness, swelling, increasing pain, bleeding, or discharge from the incision and/or stoma site
    • Nausea and/or vomiting
    • Abdominal pain
    • Little urine output, extreme cloudiness or pus in the urine, a bad odor to the urine
    • Difficulty with catheterizing or irrigating

    If you think you have an emergency, call for emergency medical services right away.

  • Definition

    Bladder augmentation is surgery to increase bladder size.

    The Urinary Tract
    The Urinary Tract
    Copyright © Nucleus Medical Media, Inc.

  • What to Expect

  • Reasons for Procedure

    Bladder augmentation surgery makes the bladder large enough to collect urine. When the bladder is too small, urine can leak out of the body (incontinence) or back up into the kidneys (reflux). This can cause a
    kidney infection
    and could damage the kidneys. The procedure is used to treat serious forms of incontinence after other treatments have failed.

    Birth defects and other conditions, like chronic obstructive bladder damage, can cause the bladder to be too small.

    Surgery may also be done if you have:

    • An overactive bladder—bladder muscle contracts when it does not need to, leading to urine leakage

    • A
      neurogenic bladder—problems with nerve signals leading to the brain and muscles, leading to urine leakage or retention

  • Possible Complications

    Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

    • Excess bleeding
    • Reaction to anesthesia
    • Infection
    • Blood clots
    • Bladder rupture
    • Abdominal pain
    • Urinary incontinence—may be for a short time or require more surgery to fix

    • Increased risk of
      kidney stones

    Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:

    • Smoking
    • Drinking
    • Chronic diseases, such as diabetes or obesity