ORTHOTOPIC NEOBLADDER
A SURGICAL OPTION FOR BLADDER DIVERSION
UOAA is an association of affiliated,
nonprofit, support groups who
are committed to the improvement
of the quality of life of people who
have, or will have, an intestinal
or urinary diversion.
3DJHRI
WHAT IS AN
ORTHOTOPIC NEOBLADDER?
³2UWKRWRSLF´PHDQV³LQWKHVDPHSODFH´DQG
³QHREODGGHU´PHDQVQHZEODGGHU6RDQRUWKRWRSLF
QHREODGGHULVDVXEVWLWXWHRU³QHZ´EODGGHUWKDWLVSODFHG
LQWKHVDPHORFDWLRQDVWKH³ROG´EODGGHU
HOW IS THE ORTHOTOPIC
NEOBLADDER CONSTRUCTED?
7KHQHREODGGHULVPDGHIURPORRSVRIWKHLQWHVWLQH
)LUVWWKHVXUJHRQUHPRYHVDVHFWLRQRILQWHVWLQH+HWKHQ
UHFRQQHFWVWKHERZHOVRWKHUHDUHQRFKDQJHVLQERZHO
IXQFWLRQ
7KHSLHFHRILQWHVWLQHWKDWZDVUHPRYHGLVFXWRSHQWR
FUHDWHD³IODWSLHFH´LQVWHDGRIDKROORZWXEH7KHIODW
SLHFHRILQWHVWLQHLVVHZQWRJHWKHUWRIRUPDSRXFK7KH
XUHWHUVNLGQHWXEHVDUHFRQQHFWHGWRRQHHQGRIWKLV
SRXFKWKHRWKHUHQGRIWKHSRXFKLVFRQQHFWHGWRWKH
XUHWKUD
8ULQHZLOOGUDLQIURPWKHNLGQHVWKURXJKWKHXUHWHUVDQG
LQWRWKHQHZ³EODGGHU´7KHQHZEODGGHUZLOOVWRUHWKH
XULQHDQGWKHLQGLYLGXDOZLOOYRLGWKURXJKQRUPDO
FKDQQHOV
DOES THE NEOBLADDER WORK
JUST LIKE A REGULAR BLADDER?
7KHQHREODGGHULVDEODGGHUVXEVWLWXWHLWGRHVQRWZRUN
MXVWOLNHDUHJXODUEODGGHU
$QRUPDOEODGGHUGRHVWZRWKLQJVLWVWUHWFKHVWRVWRUH
DQGLWFRQWUDFWVVTXHH]HVWRHPSWXULQH$QHREODGGHU
ZLOOVWUHWFKWRVWRUHXULQHEXWLWGRHVQRWKDYHWKHDELOLW
WRFRQWUDFWVTXHH]H
7KLVPHDQVWKDWDQLQGLYLGXDOZLOOXULQDWHLQDVOLJKWO
GLIIHUHQWZD7KH³QHZ´EODGGHULVHPSWLHGEUHOD[LQJ
WKHVSKLQFWHUPXVFOHDQGFRQWUDFWLQJWKHDEGRPLQDO
PXVFOHV
:KHQWKHDEGRPLQDOPXVFOHVDUHFRQWUDFWHGSUHVVXUHLV
SXWRQWKHEODGGHUDQGWKLVKHOSVWRSXVKWKHXULQHRXW
WHO IS A CANDIDATE FOR
THE NEOBLADDER PROCEDURE?
&DQGLGDWHVIRUWKHQHREODGGHUSURFHGXUHDUHLQGLYLGXDOV
ZKRQHHGWRKDYHWKHEODGGHUUHPRYHGEXWZKRGRQRW
QHHGWKHVSKLQFWHUPXVFOHUHPRYHG
,IDWXPRULVYHUFORVHWRWKHVSKLQFWHUPXVFOHVDQGWKH
VSKLQFWHUKDVWREHUHPRYHGWKHLQGLYLGXDOZRXOGQRWEH
DFDQGLGDWHIRUWKHQHREODGGHUSURFHGXUH7KLVLV
EHFDXVHWKHVSKLQFWHUPXVFOHLVQHFHVVDUIRUFRQWLQHQFH
IROORZLQJEODGGHUUHPRYDO
ADVANTAGES OF THE
ORTHOTOPIC NEOBLADDER
7KHPDMRUDGYDQWDJHVRIWKLVSURFHGXUHDUH
• $QH[WHUQDOFROOHFWLRQSRXFKLVQRWUHTXLUHG
• $QDEGRPLQDOVWRPDLVQRWUHTXLUHG
• 0RVWLQGLYLGXDOVDUHDEOHWRHPSWWKHQHREODGGHU
EXULQDWLQJ