Passing urine
After the operation the kidneys will produce urine in the normal way, and the ureters (tubes from
the kidneys) will drain urine into the new bladder.
The new bladder will store urine until you decide to empty it. The sensation of the bladder being
full is different from the usual feeling. Some people say that they get a full sensation in the
abdomen; others say that it feels a bit like having “wind”. Another way of knowing when to
empty the new bladder is by watching the time and emptying the bladder at regular intervals.
To pass urine after this operation you may have to relax your pelvis and use some abdominal
pressure or straining to empty the new bladder. Initially some people may have a little urine
leakage from the new bladder when up and about. The amount of urine held by the new
bladder will increase over time. After about 3 to 6 months, it should hold around a pint of urine
(similar to a normal bladder capacity). At first you will need to empty your bladder every 1 to 3
hours until you are able to build up the time in between as the bladder reaches its full capacity.
At night we recommend that you get up at least once or twice to empty your new bladder before
it is full. This is important, as control may be difficult when you are asleep if the bladder is full.
About 10% (1 in 10) of people who have undergone this surgery may have some leakage at
night. As the new bladder stretches, and is able to hold more urine, you will not need to empty
it as often.
Pelvic floor exercises are helpful to restore tone to the muscles in the pelvis; these muscles help
you to control leakage. We will teach you these exercises when you are admitted to the
hospital for surgery. Please also see the Pelvic Floor Exercise leaflet for more information.
Occasionally you may need to pass a catheter into the new bladder after you have emptied it to
ensure that there is no urine left behind. If a significant amount of urine is left behind in the
bladder this could cause problems with the kidneys or infection and difficulty controlling leakage
of urine from the neo bladder. To prevent this, we recommend that you use a special catheter
twice a day to make sure the bladder is completely emptied. If this is necessary this will be
discussed with you. About 30% (3 in 10) of patients having this type of operation will need to
insert a catheter once or twice a day in the long term.
Passing urineAfter the operation the kidneys will produce urine in the normal way, and the ureters (tubes fromthe kidneys) will drain urine into the new bladder.The new bladder will store urine until you decide to empty it. The sensation of the bladder beingfull is different from the usual feeling. Some people say that they get a full sensation in theabdomen; others say that it feels a bit like having “wind”. Another way of knowing when toempty the new bladder is by watching the time and emptying the bladder at regular intervals.To pass urine after this operation you may have to relax your pelvis and use some abdominalpressure or straining to empty the new bladder. Initially some people may have a little urineleakage from the new bladder when up and about. The amount of urine held by the newbladder will increase over time. After about 3 to 6 months, it should hold around a pint of urine(similar to a normal bladder capacity). At first you will need to empty your bladder every 1 to 3hours until you are able to build up the time in between as the bladder reaches its full capacity.At night we recommend that you get up at least once or twice to empty your new bladder beforeit is full. This is important, as control may be difficult when you are asleep if the bladder is full.About 10% (1 in 10) of people who have undergone this surgery may have some leakage atnight. As the new bladder stretches, and is able to hold more urine, you will not need to emptyit as often.Pelvic floor exercises are helpful to restore tone to the muscles in the pelvis; these muscles helpyou to control leakage. We will teach you these exercises when you are admitted to thehospital for surgery. Please also see the Pelvic Floor Exercise leaflet for more information.Occasionally you may need to pass a catheter into the new bladder after you have emptied it toensure that there is no urine left behind. If a significant amount of urine is left behind in thebladder this could cause problems with the kidneys or infection and difficulty controlling leakageof urine from the neo bladder. To prevent this, we recommend that you use a special cathetertwice a day to make sure the bladder is completely emptied. If this is necessary this will bediscussed with you. About 30% (3 in 10) of patients having this type of operation will need toinsert a catheter once or twice a day in the long term.
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