Enterocystoplasty is a best treatment option in which complication rate will be minimum. It is mainly used in the treatment to the children who are born with developmental abnormalities of the genitourinary system. Enterocystoplasty is a surgical treatment to enlarge the urinary bladder which is performed to enhance bladder function as a low-pressure reservoir.
PROCEDURE:
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Initially the surgery is performed under general anesthesia in the operating room. The procedure time span is 3 to 5 hours, but it can vary depending on the complexity. During this treatment, the bladder is made bigger.
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From GI tract doctor will isolate 30 to 45 cm of intestine. Then this GI tract is reconnected by this method ordinary bowel function is restored. Doctor then sew the isolated part into a “patch” and connects the “patch” to an opening in the bladder. For example imagine this as building an addition (augmented patch) onto a house (bladder) to build a larger space for urine storage.
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During the operation, an extra catheter called a suprapubic tube (SP tube) is kept through the top of the bladder. This tube will come out next to the cut and will also drain urine.
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This tube will provide extra safety by decompressing the bladder. Usually, these procedures are performed as an open method, through an incision. Yet, some patients may be candidates for a robotic assisted method in which the operation was done by inserting a camera and instruments into the stomach by 5 separate tiny “keyhole” incision. Doctor performs the similar procedure, but without the incision in the abdomen.
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Hospital stay usually lasts 3 – 7 days.
