The entire bladder may need to be removed, most often due to bladder cancer. Orthotopic neobladder surgery is a reconstruction surgery in which the bladder is reconstructed with a segment of bowel.
Yes. It is possible to live without a bladder. However, a new system is needed that allows the storage and discharge of urine produced by the kidneys. One of these is the orthotopic neobladder, which is usually created using a segment of the intestine. You can get information about the most appropriate method for you from the urologist who manages your disease.
Urostomy is the name given to the urinary bladder that opens to the abdomen. These patients carry a bag for the rest of their lives. Orthotopic neobladder is a new bladder made from the intestines inside the abdomen, without being seen from the outside.
There has not yet been a person in the world who has undergone a bladder transplant. Instead, orthotopic neobladder reconstruction is performed by experienced surgeons, and thus, it is possible for patients whose bladders have been removed to live without a urine bag.
The created orthotopic neobladder is placed in the bladder area in the lower abdominal cavity. The upper part is sewn together (anastomosis) with the ureters, which are the urinary channels of both kidneys, and the lower end with the urinary channel called urethra, which allows us to urinate. Thus, you can continue your life without having to carry a urine bag visible from your abdomen.
Definitely yes. By creating an orthotopic neobladder in suitable patients, it is possible for patients to continue their lives in a more cosmetic and comfortable way without carrying a bag in their abdomen. Moreover, this can occur without urinary incontinence.
Application of orthotopic neobladder after radical cystectomy is a method that can increase the quality of life. This increase in quality is valid for patients who do not have significant urinary incontinence and whose neobladder empties well.
Yes. The patients who have orthotopic neobladder can urinate normally and live a normal life.
After orthotopic neobladder reconstruction, urinary incontinence is observed in approximately 20%. This develops due to sphincter insufficiency.
The 5-year survival rate after radical cystectomy surgery is 60%. This survival may vary depending on the patient's current age, stage of the disease, histological type and other systemic diseases (diabetes, hypertension). The orthotopic neobladder can be used throughout the patient's life.
Radical cystectomy and neobladder reconstruction are major surgeries and complications may occur. However, when performed by experienced urologists and centers, these undesirable situations are minimized.
Although neobladder reconstruction may be cosmetically more attractive than a urostomy bag, it may also have some disadvantages. Urinary leakage and incontinence, renal dysfunction and electrolyte imbalance that may develop due to the neobladder not being able to drain urine, and recurrent infections are side effects that may be seen more frequently in orthotopic neobladder reconstruction. Some patients may require self-catheterization to drain urine.
Yes. There is no harm in swimming for both patients with orthotopic neobladder and patients with urostomy bags.
The best bladder cancer surgical method varies for each patient. The patient's age, general condition, stage of the disease, other diseases and even lifestyle are effective in choosing the surgical method. The advantages and disadvantages of the methods should be discussed with the patient and a decision should be made without deviating from general oncological principles.
The average cost of radical cystectomy and orthotopic neobladder surgery for bladder cancer in Turkey is around $15,000. Price may vary depending on patient factors, the urologist's experience, and hospital comfort.
Orthotopic neobladder surgey is performed by Dr Arif Demirbaş at Doruk Nilufer Hospital in Turkey
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Assoc. Prof. Dr. Arif DemirbasUrology Specialist
Assoc. Prof. Dr. Arif Demirbaş
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All TestimonialsAssoc. Dr. We would like to express to our doctor Arif Demirbaş that we are pleased with the surgery we had. May God grant whatever he desires, may God bless him. We would also like to thank th{...}
04.04.2023On 03/07/2023, Doruk Hospital urology doctor Assoc. Dr. I had a successful prostate surgery performed by Arif Demişrbaş. I would like to thank him and his team for their close attention both be{...}
10.08.2023My problem of benign prostate enlargement, which has been going on for about 15 years, was addressed by Assoc. Dr. Thanks to Arif Demirbaş, I survived the surgery (thulep prostate surgery) on 0{...}
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