After the bladder has been surgically removed, your doctor will create a new urinary resorvoir in place of the old bladder. Orthotopic means "in the same place". Neobladder means "new bladder". Your doctor will make a new bladder in the same place from a piece of the small intestine called an ileum. Once the piece is removed from your small intestine, it is reconnected.
The piece of the intestine that is removed to make the bladder is sewn together to form a pouch. The bottom portion of the pouch is connected to the urethra. This new pathway is made to act like your normal urinary system. Temporary tubes are used to drain your newly created bladder to help the healing process. They are ureteral stents, a suprapubic catheter and a urethral catheter. These drains will be described in more detail.
Since the neobladder has been created out of a piece of bowel, it will produce mucus. Mucus is a thick substance made by the lining of your intestine. This mucus can clog the tubes and build up on the lining of the neobladder, so you will learn to irrigate your catheter.
Your nurse will teach you how to irrigate your catheter. This will begin during your hospital stay and continue after discharge through your follow-up appointment. The catheter needs to be irrigated every six hours. Your doctor will tell you when you may stop.
The"new bladder" made out of small intestine may not work as well as a normal bladder, and may leak urine. This can happen especially at night. If the catheter does not drain well on its own, your doctor may have you use a catheter for a longer period of time. Your doctor will be following you closely to see how your new bladder is working and to answer any of your questions.
After the bladder has been surgically removed, your doctor will create a new urinary resorvoir in place of the old bladder. Orthotopic means "in the same place". Neobladder means "new bladder". Your doctor will make a new bladder in the same place from a piece of the small intestine called an ileum. Once the piece is removed from your small intestine, it is reconnected.The piece of the intestine that is removed to make the bladder is sewn together to form a pouch. The bottom portion of the pouch is connected to the urethra. This new pathway is made to act like your normal urinary system. Temporary tubes are used to drain your newly created bladder to help the healing process. They are ureteral stents, a suprapubic catheter and a urethral catheter. These drains will be described in more detail.Since the neobladder has been created out of a piece of bowel, it will produce mucus. Mucus is a thick substance made by the lining of your intestine. This mucus can clog the tubes and build up on the lining of the neobladder, so you will learn to irrigate your catheter.Your nurse will teach you how to irrigate your catheter. This will begin during your hospital stay and continue after discharge through your follow-up appointment. The catheter needs to be irrigated every six hours. Your doctor will tell you when you may stop.The"new bladder" made out of small intestine may not work as well as a normal bladder, and may leak urine. This can happen especially at night. If the catheter does not drain well on its own, your doctor may have you use a catheter for a longer period of time. Your doctor will be following you closely to see how your new bladder is working and to answer any of your questions.
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