If the bladder has been completely removed, a new reservoir for the urine will have to be created. The most common method is by the formation of an ILEAL CONDUIT or UROSTOMY. A small section of the bowel is used to join the ureters from the kidney to the skin of the abdominal wall. The remaining bowel is joined together again. The opening or STOMA or UROSTOMY drains the urine into a flat, changeable, a watertight bag which is attached to the side of your abdomen. This will fill up in the same way as your bladder did and will need to be emptied regularly by a small tap on the bottom of the bag.
Sometimes it is possible to replace the bladder inside the abdomen (BLADDER RECONSTRUCTION) by using bowel made into a balloon-shaped sac and stitching it to the top of the urethra. It may be possible to empty the bladder normally, but you may have to learn to use a small tube (catheter) to drain the urine several times a day.
Sometimes it is possible to replace the bladder inside the abdomen (BLADDER RECONSTRUCTION) by using bowel made into a balloon-shaped sac and stitching it to the top of the urethra. It may be possible to empty the bladder normally, but you may have to learn to use a small tube (catheter) to drain the urine several times a day.
If the urethra has to be removed a CONTINENT POUCH can be formed, again using a piece of bowel. This meatis thilt although you do not pass urine out through the urethra, you do not have to wear a bag. Instead you will be taught how to dram the urine by passing a small catheter into the new bladder everv three hours through the umbilicus or navel.
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