What Is a NeoBladder? Life After Bladder Removal Surgery Explained

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What happens when someone needs their bladder removed? Is it possible to urinate normally again?

In this episode of UroPatient, host Vic Senese, RN, BSN, FAUNA, explains what a NeoBladder is, how it is created, and what patients need to know about life after bladder removal surgery.

A NeoBladder, sometimes called an orthotopic neobladder, is a surgically created replacement bladder made from a section of the patient's own small intestine. It is most commonly considered for patients who undergo radical cystectomy, a surgery that removes the bladder, often because of muscle-invasive bladder cancer.

Instead of living with an external urine collection bag or a urinary diversion, some patients may be candidates for a NeoBladder that allows them to pass urine through their natural urethra.

In this episode, you will learn:

✅ What a NeoBladder is and why it is created
✅ How surgeons use a segment of intestine to make a new urine reservoir
✅ Who may be a candidate for NeoBladder surgery
✅ How patients learn to empty and control their new bladder
✅ What recovery after NeoBladder surgery may involve
✅ Potential challenges including leakage, nighttime urination, and urinary retention
✅ The importance of follow-up care and patient education

A NeoBladder does not work exactly like a natural bladder. Patients must learn new techniques, including timed voiding, pelvic floor awareness, and sometimes catheterization if they cannot completely empty the reservoir.

For many patients, a NeoBladder can provide an opportunity for a more natural way of urinating and improved quality of life after bladder removal surgery. However, the decision depends on many factors, including cancer treatment needs, kidney function, overall health, and patient preference.

Join Vic Senese, RN, BSN, FAUNA, host of UroPatient, as he breaks down this complex urologic procedure in a way patients and families can understand.

*The expert's opinions in this communication are personal and not representative of any organization. They are for informational purposes only, not official guidance. Viewers are advised to use their judgment, seek additional advice, and take responsibility for any actions based on these opinions.
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Urology
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