Type of Surgery
Information
Last updated: 02/17/2009
Reported surgical risks include 3–5.7% rate of adhesive small bowel obstruction requiring operative intervention, 5–6% incidence of wound infection, 0–3% reoperation rate for bleeding. Long term complications include a 50% unchanged bladder compliance...
and renal deterioration. No reduction in growth in children has been reported, but the procedure is not recommended for children who have not reached puberty, unless there is the threat of kidney damage.
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Bladder augmentation is a surgical alteration of the urinary bladder. It involves removing strips of tissue from the intestinal tract and adding this to the tissue of the bladder. This has two intended results: increased bladder volume; and a reduced percentage of the bladder involved in contraction, that in turn results in lower internal pressures in the bladder during urination.
Risks of bladder augmentation include incomplete voiding of the bladder post-surgery (resulting in the patient having to undergo intermittent catheterisation or an indwelling catheter), acute intestinal obstruction due to adhesions some years after surgery, and, in extremely rare cases, cancers of the intestinal tissue within the bladder. It must be stressed that this risk is very small, and some specialists[weasel words] still regard the link to cancer as a theoretical one.
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A significant drop in libido in a young male raises serious questions about hormone levels, as well as other problems; if all is normal, the most common non-physical causes are stress, exhaustion, worry and depression.
-Charlie MacCormack
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