Overview

Also known as bladder augmentation cystoplasty, Bladder augmentation is a surgical procedure performed in children with a poorly functioning or small-capacity bladder that cannot store urine effectively. It affects kids with different complications, such as frequent urination, urinary incontinence, urinary tract infections (UTIs), and damage to the kidneys. The surgery involves enlarging the bladder by adding a patch of tissue (usually from the intestine or stomach) to improve its capacity and compliance, helping the child achieve better urinary control and protection of kidney function.

Why is Bladder Augmentation Needed?

Bladder augmentation is the best treatment option for children who have:

• Neurogenic bladder (commonly seen in spina bifida and spinal cord disorders).
• Severe bladder dysfunction that does not respond to medications or less invasive therapies.
• Posterior urethral valves (PUV) or congenital bladder abnormalities leading to high pressure inside the bladder.
• Refractory vesicoureteral reflux (VUR) or kidney damage caused by a poorly functioning bladder.

Before Surgery

• Evaluation: Children undergo urodynamic studies, ultrasound, MRI, blood and urine tests to assess bladder function and kidney health.
• Preoperative Preparation: Pediatric urologists may prescribe antibiotics to prevent infections, and parents learn through counseling about the need for catheterization after surgery.
• Nutritional & Bowel Preparation: Proper bowel prep may be necessary if intestinal tissue is currently in use.

What to Expect During Surgery

• Procedure: The surgeon opens the bladder and attaches a segment of intestine or stomach tissue to expand its size.
• Sometimes, a stoma (small abdominal opening) becomes essential to allow catheterization if urethral catheterization is impossible.
• The operation is performed under general anesthesia and usually takes several hours.

After Surgery

• The child is kept in the hospital for 1–2 weeks, depending on recovery.
• Catheters remain in place to help drain urine while the bladder heals.
• Regular monitoring of urine output, electrolytes, and bowel activity happens.
• Parents are trained in clean intermittent catheterization (CIC) if required.

Benefits & Risks

Benefits:

• Increased bladder capacity and reduced bladder pressure.
• Prevention of kidney damage due to high bladder pressure.
• Improved urinary continence (control of urination).
• Reduced frequency of urinary tract infections.

Risks:

• Risk of infection or bleeding after surgery.
• Mucus production in the bladder (from intestinal tissue).
• Possibility of bladder stone formation.
• Need for lifelong monitoring and intermittent catheterization.
• Rare risk of bladder perforation or malignancy in long-term cases.

Recovery & Long-Term Care

• Children typically return to normal activities in 4–6 weeks.
• Regular follow-up with urodynamic studies, urine cultures, ultrasound, and kidney function tests is required.
• Parents and children are educated on catheterization techniques and hydration to prevent complications.

Precautions for Parents

• Ensure proper catheterization and hygiene.
• Encourage fluid intake to reduce mucus and stone formation.
• Watch for signs of infection (fever, cloudy urine, foul smell).
• Keep up with scheduled follow-ups with the pediatric urologist.

FAQs on Pediatric Bladder Augmentation

At what age is bladder augmentation performed in children?

It generally occurs in children between the ages of 5 and 6. Still, the timing depends on the severity of bladder dysfunction and kidney health.

Will my child need to use a catheter after surgery?

Yes, many children require clean intermittent catheterization (CIC) to empty the bladder fully, especially if bladder emptying is not adequate.

How long does my child need to stay in the hospital?

Hospital stay ranges from 7 to 14 days, depending on healing and recovery progress.

Is bladder augmentation a permanent solution?

Yes, but long-term follow-up is essential. Some children may need additional procedures in the future.

Can my child lead a normal life after surgery?

Yes, with proper bladder management and regular medical care, children can live everyday, active lives.

Why choose Tender Palm Super-Speciality Hospital for Pediatric Bladder Augmentation in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Pediatric Bladder Augmentation in Lucknow, India. Our experienced pediatric urologists use advanced tools to give accurate results, quick diagnosis, and better long-term care. We offer the best evaluation and treatment support with effective and affordable pricing, making the Pediatric Bladder Augmentation cost suitable for patients seeking high-quality urology care in Lucknow, India.

To seek an Expert Consultation for Pediatric Bladder Augmentation in Lucknow, India:

Call us at +91-9076972161
Email at care@tenderpalm.com

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