Open bladder surgery may be required for patients who have experienced severe bladder trauma, or who suffer from large bladder stones,bladder fistulas or bladder cancer.
Repair after traumatic rupture / iatrogenic injury
If the patient has experienced severe bladder trauma (for example, if their bladder burst or if they had a ruptured bladder as the result of an injury), then Dr. Hayden may pursue surgical bladder rupture treatment. The recovery time for repair after traumatic rupture of the bladder will be determined on a case by case basis. Bladder surgery might also be required for patients who have experienced iatrogenic trauma. An iatrogenic injury is caused inadvertently by medical practitioners and can often be a side-effect of the need to treat a ureteric injury or other urinary tract problems.
When a patient requires open surgical bladder stones treatment this is because other, less invasive measures (such as a endoscopic cystolithotripsy or lithalopaxy procedure) have proven ineffective. Open cystolithotomy is a procedure for bladder stone removal that involves Dr. Hayden making a single incision into the patient’s abdomen, and then an incision into the bladder, before physically removing the large (or hard to dislodge) bladder stones. Recovery time from this cystolithotomy procedure will vary according to the severity of the case.
A bladder fistula is an abnormal connection between the bladder and another organ or the skin. Most often they form between the bladder and the bowel (enterovesical fistula) or between the bladder and the vagina (vesicovaginal fistula). Dr. Hayden will conduct fistula repair surgery by excising the fistula tract , and then removing the area of the bladder and other organ that formed the fistula. Healthy tissue is then moved in to block the opening between the bladder and the surrounding organ. Recovery time from a fistula repair procedure will vary according to the individual case.
Open and endoscopic cystolithotomy is performed under general anaesthesia as an inpatient procedure.
Fistulas normally occur due to some kind of injury or inflammation inside the body. Other causes may include:
- Crohn’s disease
- Surgery to the pelvis or lower abdomen
- Ulcerative colitis
- Hidradenitis suppurativa
- Childbirth or obstructed labour
- Radiation to the lower abdomen
You may experience the following:
- Constipation Nausea Cramping Soreness around the site of the wound
These side effects should wear off a few days after the procedure, once the body starts to heal.