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Bladder Augmentation

medical tourism Bladder Augmentation

For patients requiring bladder augmentation (cystoplasty), medical tourism offers access to high-quality urological care at 60-75% lower costs than Western countries. Leading destinations like India, Turkey, Thailand, and South Korea provide advanced ileocystoplasty and colocystoplasty procedures performed by experienced urologists in JCI-accredited hospitals, with comparable success rates to US/EU standards.

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Urological surgery Bladder Augmentation

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Bladder Augmentation

Bladder augmentation (or cystoplasty) is a surgical procedure to increase bladder capacity by using a segment of the patient’s intestine (usually ileum or colon) to enlarge the bladder. This helps treat low bladder capacity, urinary incontinence, and neurogenic bladder dysfunction.

Who Needs Bladder Augmentation?

Neurogenic bladder (spinal cord injury, spina bifida, multiple sclerosis)
Severe overactive bladder unresponsive to medication
Bladder fibrosis (radiation, chronic inflammation)
Congenital bladder abnormalities (exstrophy, small capacity)

Types

TypeDescriptionPros & Cons
IleocystoplastyUses a segment of the ileum (small intestine)Most common, high success rate
ColocystoplastyUses part of the colonAlternative if ileum unavailable
GastrocystoplastyUses stomach tissue (rare)Less mucus production, but risk of ulcers

Surgical Procedure Overview

  1. General anesthesia is administered
  2. Bowel segment is isolated and reshaped
  3. Augmented patch is attached to the bladder
  4. Catheter placement for post-op drainage
  5. Surgery duration: 3-5 hours

Recovery & Aftercare

  • Hospital stay: 5-10 days
  • Catheter use: 2-4 weeks
  • Full recovery: 6-12 weeks
  • Lifelong follow-up: Regular urodynamic tests

Potential Risks & Complications

Bowel obstruction (5-10% risk)
Bladder stones (due to mucus buildup)
Chronic UTIs (requires monitoring)
Metabolic changes (electrolyte imbalance)

Success Rates & Long-Term Outcomes

  • 85-90% success rate in improving bladder capacity
  • 75% of patients achieve continence
  • Lifelong clean intermittent catheterization (CIC) may be needed

Bladder Augmentation vs. Alternative Treatments

TreatmentBest ForProsCons
Bladder AugmentationSevere low capacityPermanent solutionMajor surgery
Botox InjectionsOveractive bladderMinimally invasiveTemporary effect
MedicationsMild symptomsNon-surgicalSide effects