Type of Surgery
Information

Last updated: 02/17/2009
Long term risks of the procedure include peptic ulceration of the bladder and perforation of the gastric segment. Spontaneous perforation is rare but it is life threatening and has a 25% mortality rate. Other risks include bacterial infections, metabolic...
changes, urinary tract infections, and urinary tract stones. Nocturnal incontinence is sometimes a problem after the surgery.
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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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