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Bladder Augmentation

Enlargement of a small-capacity bladder using an intestinal segment.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Bladder Augmentation?

Bladder augmentation (augmentation cystoplasty) is the enlargement of the bladder using a detubularized intestinal segment (usually the ileum) when the bladder capacity is insufficient.

It is performed in neurogenic bladder (spinal cord injury, spina bifida) to prevent the high-pressure small-capacity bladder from damaging the upper urinary tract and to provide social continence.

Most patients require clean intermittent catheterization (CIC) after surgery. Mucus production, metabolic acidosis, kidney stones, and bladder cancer risk require long-term follow-up.

Symptoms

Neurogenic bladder (high pressure, low capacity)
Interstitial cystitis/painful bladder syndrome (refractory)
Tuberculous bladder (contracture)
Radiation cystitis (contracture)
Congenital bladder anomalies

Risk Factors

Need for clean intermittent catheterization
Mucus production and obstruction
Hyperchloremic metabolic acidosis
Bladder cancer risk (in the long term)
Kidney stone formation

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When upper urinary tract deterioration develops in a neurogenic bladder
  • Small bladder unresponsive to all conservative treatments
  • If inability to perform CIC or difficulty with catheterization develops
  • If recurrent urinary tract infection or hematuria occurs

Treatment Methods

01
Ileal augmentation cystoplasty (the most common technique)
02
Sigmoid or gastric augmentation (in selected cases)
03
Clean intermittent catheterization training
04
Metabolic monitoring (acidosis, electrolytes, B12)
05
Annual cystoscopy and cytology (cancer screening, after 10 years)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.