Neobladder Construction Surgery

Neobladder construction is a surgical technique designed to restore bladder function in individuals who have lost their bladder due to disease, injury, or other medical conditions. The neobladder is created using a section of the patient’s small intestine, which is carefully shaped into a pouch and placed in the same location as the original bladder. This new bladder functions by holding urine, allowing the patient to regain voluntary control over urination, closely mimicking natural bladder function. The procedure, known as orthotopic neobladder construction, ensures that the new bladder is placed in its natural anatomical position, offering a more functional and familiar way of storing and emptying urine.

However, after the procedure, there is typically a period of urinary leakage as the neobladder adjusts to its new role. During this time, the neobladder gradually stretches to a more typical size, and the patient works to strengthen the sphincter muscle that controls the release of urine. With time and rehabilitation, most patients regain better control of their bladder, leading to improved continence.

Neobladder construction procedure is an option when the bladder is surgically removed due to conditions such as bladder cancer, severe urinary incontinence that has not responded to other treatments, chronic inflammatory diseases, neurological disorders affecting bladder function, complications from radiation therapy, congenital abnormalities that cannot be repaired, or trauma to the bladder.

Neobladder construction is a suitable option for individuals who require bladder removal due to disease or dysfunction and meet specific medical criteria. Eligible candidates are those who have undergone radical cystectomy due to bladder cancer. Additionally, individuals with non-functional bladders caused by conditions like radiation damage, neurological disorders, or chronic inflammatory diseases may also benefit from this surgery, as it offers a way to regain voluntary control of urination.

Candidates must also have proper kidney function, as the neobladder relies on the kidneys’ ability to filter and eliminate waste effectively. Additionally, individuals who do not suffer from severe bowel diseases, such as Crohn’s disease or other major gastrointestinal disorders, are considered suitable for this procedure since a portion of the intestine is used to construct the neobladder.

Neobladder construction using laparoscopic surgery is a minimally invasive procedure that involves creating a new bladder from a section of the intestine after the original bladder has been removed. The surgeon makes several small incisions in the abdominal wall. These incisions serve as entry points for specialized surgical instruments and a laparoscope, a thin, flexible tube with a camera and light attached to its end.

The surgeon inserts the laparoscope through one of the incisions, providing a magnified view of the abdominal cavity on a monitor. Carbon dioxide gas is introduced into the abdomen to create space, allowing the surgeon to maneuver the instruments with precision.

To create the new bladder, the surgeon selects a portion of the intestine, typically from the small intestine (ileum). This segment is carefully isolated while preserving its blood supply. The selected intestine is then detached from the digestive tract, and the remaining intestine is reconnected.

The surgeon reshapes the isolated intestinal segment into a spherical reservoir to mimic the function of a natural bladder. The inner lining of the intestine is modified to improve its ability to store urine without excessive absorption of waste products.

Once the neobladder is formed, the surgeon attaches the ureters to the upper part of the new bladder, allowing urine to flow from the kidneys into the reservoir. The lower part of the neobladder is then connected to the urethra, enabling voluntary urination through the natural urinary passage. In some cases, a catheter may be temporarily placed to assist with urine drainage during the healing process.

After ensuring that all connections are secure and there is no leakage, the surgeon removes the laparoscopic instruments. The small incisions in the abdomen are then closed using sutures or surgical staples.

Following surgery, the patient is moved to a recovery room where vital signs and overall condition are closely monitored. Pain management, antibiotics, and intravenous fluids are administered as needed.

• Proper care of the surgical site is essential to prevent infections and promote healing.
• Patients will receive guidance on how to manage their catheter, including how to keep it clean and monitor for any issues.
• Establishing a regular schedule for emptying the neobladder is important for preventing complications such as overfilling or leakage.
• Strengthening the pelvic floor muscles can improve bladder control and reduce urinary incontinence.

• The hospital stay is 3 to 5 days, depending on individual recovery progress.
• A urinary catheter remains in place for several weeks to support healing.
• Patients must learn to drain their neobladder regularly to avoid overfilling.
• Drinking plenty of fluids helps flush the urinary system and prevent infections.
• Light movement is encouraged, but strenuous activities should be avoided initially.
• A well-balanced diet can support healing and prevent constipation, which may strain the pelvic area.
• Regular medical appointments are crucial for monitoring bladder function and addressing any concerns.
• Bladder control improves over time, with better daytime continence within a year and nighttime control continuing to develop over two years.
• We maintain ongoing follow-ups with our patients for up to six months to a year after surgery, even after they have returned home. To ensure a smooth recovery, patients should promptly inform our clinic of any concerns or complications during the post-operative period before consulting an external specialist. This allows us to provide appropriate guidance and timely medical support as needed.

Undergoing treatment for a neobladder construction in Turkey offers several significant benefits:

• Turkey is home to internationally accredited hospitals and clinics that adhere to strict medical standards. Many surgeons in Turkey are highly trained and experienced, having studied and worked in leading medical institutions worldwide. The quality of care provided is often on par with that of Western countries, ensuring a successful outcome for patients.
• One of the most attractive benefits of undergoing neobladder construction surgery in Turkey is the cost-effectiveness. The prices for procedures in Turkey are considerably lower compared to those in the U.S. or Europe, without compromising the quality of care. This makes Turkey an appealing option for medical tourism, offering both excellent service and affordable pricing.
• Turkey is known for investing in cutting-edge medical technology, ensuring that patients receive the best possible care using the latest equipment and techniques. This is particularly important in delicate procedures such as urethral stricture surgery, where precision and advanced tools can enhance the outcome and reduce recovery time.
• Clinics in Turkey offer comprehensive aftercare services, including follow-up appointments, consultations, and support throughout the recovery process. This ensures that patients are closely monitored and receive the necessary assistance for a smooth and successful recovery.
• The surgeons in Turkey are renowned for their expertise in urology, including the treatment of urethral strictures. Many have years of experience performing these procedures and are well-versed in the latest techniques, ensuring that patients receive the best possible results.
• Turkey is well-connected by air, making it an accessible destination for international patients. It offers a combination of modern medical facilities and a rich cultural experience, allowing patients to recover in a comfortable environment while enjoying the country’s hospitality and tourism offerings.

Selecting the right clinic for a complex procedure like neobladder construction surgery is a critical decision that requires careful consideration. Amid the overwhelming number of commercial advertisements and social media promotions, it can be challenging to identify a clinic that meets all the necessary criteria. So, what should guide your decision-making process? Here are the key factors to consider:

• The clinic should provide truthful, medically sound advice free from any commercially driven interests.
• The clinic should prioritize establishing a strong rapport with the patient, demonstrating genuine empathy and understanding of their concerns.
• The clinic must place the patient’s health, safety, and overall well-being above all else, ensuring the highest standards of care throughout the treatment journey.

When evaluating the cost of neobladder construction surgery, it’s important to consider the following factors to ensure a realistic and fair price estimation:

• The clinic’s standing in the medical community.
• The nature and intricacies of neobladder construction surgery.
• The expertise and qualifications of the surgeon, as well as the quality of post-operative care, play a significant role in determining the overall value of the treatment.
• The clinic should provide transparent and impartial documentation outlining clinical liabilities and treatment terms in a legally compliant manner.

The cost of neobladder construction surgery in Turkey can vary based on the factors mentioned above. While affordability is often a key reason for seeking treatment abroad, prioritizing cost over quality without ensuring that the clinic meets these essential criteria can lead to irreversible complications and higher expenses in the long run.

As Prospero Medical, we are committed to maintaining a transparent pricing policy. Every component of the treatment cost is clearly outlined to help patients make informed decisions. Our goal is to provide a realistic pricing structure that reflects the level of medical expertise, the credentials of our surgeons, and the exceptional aftercare services we offer. With years of experience in the industry, we strive to deliver high-quality, professional medical services that align with a fair and transparent pricing model. Your safety, satisfaction, and successful recovery are our top priorities.