“Procedure creates new bladder from patient’s own intestine”

~Doctors at Fortis Hospitals Kolkata performs a unique surgery to treat bladder cancer”

Kolkata, July 13, 2010:  A team of specialist led by Dr. R K Gopalakrishna, Consultant Uro-Oncologist at Fortis Hospitals & Kidney Institute Kolkata has performed a unique surgery to help bladder cancer patients restore their normal urine function by avoiding the traditional method of uncomfortable external urine collection system. This unique procedure is called as Neobladder.

Dr. R K Gopalakrishna & other consultants at Fortis Hospitals & Kidney Institute Kolkata are routinely performing neobladder procedure whereby the patient’s own intestine is used to reshape and create a new pouch or artificial bladder replacing the damaged bladder. This artificial bladder made from the intestine performs the function of a bladder and the patient leads a completely normal life. In the traditional method surgeons used to construct an external pouch for urine collection and most of the time it was socially obstructing to carry a urine pouch.

Highlighting a success story of Neobladder, Dr. R K Gopalakrishna cites the example of two successful surgeries done at the hospital. Mr. A K Lahiri was diagnosed of an aggressive variety of bladder cancer where the patient’s bladder had to be removed. He successfully underwent the procedure replacing the diseased bladder and construction of an artificial bladder with the patient’s own intestine.

Explaining the procedure Dr. R K Gopalakrishna said “The human bladder has two basic functions: a reservoir to store urine and secondly, squeezing automatically, to empty the urine. Neobladder is actually a bag like structure constructed using the patient’s own intestine, and functions like a urinary reservoir. However it lacks contracting ability, and therefore the patient has to tighten his tummy muscles to squeeze and empty the neobladder. Some patients would be given a thin lubricated tube to empty the reservoir via the urinary passage.”

Traditionally, after removal of the bladder, patients would be given an external collection device for urine. This would be in the form of a special plastic pouch fixed to the lower abdomen by a sticker. This would require changing every few days or weeks when loose. Besides, bathing or any water-based activities would be impossible to prevent the sticker from falling off. Women would sometimes feel socially uncomfortable with this external appliance. On the other hand, a person with a neobladder would look and function completely normally.  Besides, the savings on the cost of buying these expensive imported pouches is enormous.

The other successful surgery was of 36 year old Mr. Mohim Naskar, who had opted for neobladder surgery 4 years ago. He had been working in a refill-making factory for 12 years since the age of 20. He found blood in his urine off and on, for 6 months but neglected it.  When he came to Fortis Hospitals, an endoscopy and CT scan revealed that there were multiple bladder tumors which had penetrated the walls of the bladder. Hence bladder removal was the only solution. As he was in the prime of his youth and very active, a neo bladder operation was performed. Today, after 4 years of his operation he is leading a normal life without any complication.

Dr. Gopalakrishna, Urologist says ‘cancer surgery need not be a disfiguring operation, especially with modern techniques like the neobladder. The neobladder operation does not require expensive technology or equipment because it is made of the patients’ own body tissues and therefore applicable to all strata of society.”

The word cancer spreads fear in our minds as we often feel cancer is incurable. But doctors at Fortis Hospitals say that bladder cancer is completely curable with early detection. Often the first symptom of bladder cancer is blood in urine, which is easily detectable and should never be ignored. Early bladder cancer can be removed endoscopically through the urinary passage. However, when the cancer spreads into the bladder muscles, the bladder itself has to be removed completely & may be replaced with a neobladder in suitable cases.

“Procedure creates new bladder from patient’s own intestine”

~Doctors at Fortis Hospitals Kolkata performs a unique surgery to treat bladder cancer

Kolkata, July 13, 2010: A team of specialist led by Dr. R K Gopalakrishna, Consultant Uro-Oncologist at Fortis Hospitals & Kidney Institute Kolkata has performed a unique surgery to help bladder cancer patients restore their normal urine function by avoiding the traditional method of uncomfortable external urine collection system. This unique procedure is called as neobladder.

Dr. R K Gopalakrishna & other consultants at Fortis Hospitals & Kidney Institute Kolkata are routinely performing neobladder procedure whereby the patient’s own intestine is used to reshape and create a new pouch or artificial bladder replacing the damaged bladder. This artificial bladder made from the intestine performs the function of a bladder and the patient leads a completely normal life. In the traditional method surgeons used to construct an external pouch for urine collection and most of the time it was socially obstructing to carry a urine pouch.

Highlighting a success story of neobladder, Dr. R K Gopalakrishna cites the example of two successful surgeries done at the hospital. Mr. A K Lahiri was diagnosed of an aggressive variety of bladder cancer where the patient’s bladder had to be removed. He successfully underwent the procedure replacing the diseased bladder and construction of an artificial bladder with the patient’s own intestine.

Explaining the procedure Dr. R K Gopalakrishna said “The human bladder has two basic functions: a reservoir to store urine and secondly, squeezing automatically, to empty the urine. Neobladder is actually a bag like structure constructed using the patient’s own intestine, and functions like a urinary reservoir. However it lacks contracting ability, and therefore the patient has to tighten his tummy muscles to squeeze and empty the neobladder. Some patients would be given a thin lubricated tube to empty the reservoir via the urinary passage.”

Traditionally, after removal of the bladder, patients would be given an external collection device for urine. This would be in the form of a special plastic pouch fixed to the lower abdomen by a sticker. This would require changing every few days or weeks when loose. Besides, bathing or any water-based activities would be impossible to prevent the sticker from falling off. Women would sometimes feel socially uncomfortable with this external appliance. On the other hand, a person with a neobladder would look and function completely normally. Besides, the savings on the cost of buying these expensive imported pouches is enormous.

The other successful surgery was of 36 year old Mr. Mohim Naskar, who had opted for neobladder surgery 4 years ago. He had been working in a refill-making factory for 12 years since the age of 20. He found blood in his urine off and on, for 6 months but neglected it. When he came to Fortis Hospitals, an endoscopy and CT scan revealed that there were multiple bladder tumors which had penetrated the walls of the bladder. Hence bladder removal was the only solution. As he was in the prime of his youth and very active, a neo bladder operation was performed. Today, after 4 years of his operation he is leading a normal life without any complication.

Dr. Gopalakrishna, Urologist says ‘cancer surgery need not be a disfiguring operation, especially with modern techniques like the neobladder. The neobladder operation does not require expensive technology or equipment because it is made of the patients’ own body tissues and therefore applicable to all strata of society.”

The word cancer spreads fear in our minds as we often feel cancer is incurable. But doctors at Fortis Hospitals say that bladder cancer is completely curable with early detection. Often the first symptom of bladder cancer is blood in urine, which is easily detectable and should never be ignored. Early bladder cancer can be removed endoscopically through the urinary passage. However, when the cancer spreads into the bladder muscles, the bladder itself has to be removed completely & may be replaced with a neobladder in suitable cases.

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