Научно-клинический центр инновационной медицины
Эксперты из ведущих клиник Концепция нашего центра: мы пригласили лидеров мнений в узкоспециализированных вопросах и создали постоянно действующий консилиум.
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Bladder Reconstruction

The bladder is a reservoir. If it is absent, a new one must be created. Modern reconstructive surgery allows the creation of a new reservoir from a segment of the intestine. Essentially, a section of the intestine is shaped and sewn into a pouch, which is then connected to the ureters and the urethra. This forms a new reservoir. On average, we perform 117 bladder reconstructions per year. In some cases, these are patients who had their bladder removed previously; in most cases, we remove and reconstruct the bladder in a single operation. Simply because life without a bladder is practically devoid of quality.

How do we help people facing the threat of bladder loss?

Day 1
Consultation
Day 2-5
Preparation
Day 7
Surgery
Day 8-22
After Surgery
1 Year
Rehabilitation

Consultation: When scheduling a consultation with a urologic oncologist, we ask the patient to send us all existing medical documentation in advance. This way, during the appointment, we are prepared to discuss all aspects of the surgery.

The surgery to remove and reconstruct the bladder is one of the most complex procedures in surgery. Therefore, to minimize the risks of anesthesia and the operation itself, we conduct comprehensive examinations of our patients and carefully prepare them for surgery.

Laparoscopic surgery is the least invasive method, and if there are no contraindications, we perform the operation using this approach. We have expertise in a wide range of bladder reconstruction techniques, creating a new bladder from both the small and large intestine, supported by extensive experience and excellent surgical skill.

Postoperative care: Since these surgeries are among the most complex and require a lengthy recovery, our patients stay in the hospital under our supervision for 8 to 15 days. It is important to note that we get the patient up and walking on the very first day after surgery to help prevent numerous complications.

Rehabilitation: Over the course of a year, we closely monitor our patients, asking them to come in for regular consultations. We assess the functional capacity of the newly created bladder using diagnostic equipment and, if necessary, adjust any dysfunctions.

Our Advantages

Countries
Countries
27
Patients come to us for bladder reconstruction from 27 countries.
Patients
Patients
2000+
Our experience over 20 years includes more than 2,000 cases.
Experience
Experience
20+
Over 20 years of experience in bladder removal and reconstruction.
Publications
Publications
17
Seventeen publications have been published on this topic over the past 20 years.
Patients per year
Patients per year
117
On average, 117 patients undergo surgery with us each year.
Rehabilitation
Rehabilitation
100%
All patients remain under our supervision for one year.
Thus, we are an interdisciplinary team of specialists with extensive experience in reconstructive surgery. Our center is equipped with modern surgical, anesthetic, and intensive care equipment, which ensures the safe performance of lengthy reconstructive
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It’s not difficult!

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Bladder cancer
In bladder cancer beyond the first stage, when it is impossible to preserve the organ, radical removal of the bladder becomes necessary, creating an urgent need for reconstruction. Naturally, all patients wonder whether they will have to wear urine collection bags permanently.
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Interstitial cystitis
Interstitial cystitis is a poorly understood condition that leads to the shrinkage of the bladder—a sharp reduction in its volume—which forces the patient to use the restroom more and more frequently, in extreme cases up to 50–60 times a day. At the same time, constant pain leaves the patient with no relief...
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Rare causes
Deep infiltrative endometriosis, radiation cystitis, and severe fistulas are conditions that, in extreme cases, force both the doctor and the patient to make the difficult decision to remove the bladder. In such cases, reconstruction is the only right solution.

How exactly do we reconstruct the bladder?

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What should a patient know before surgery?

What should a patient know if bladder reconstruction is indicated?
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So in that case, does the urine flow into the intestines?!
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Why is thorough preparation required?
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Reconstructive surgery — how complex is it?
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Are there any negative aspects or complications after the surgery?
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Oganes E.Dilanyan MD PhD

Chief Physician, Uologist, Oncologist

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