Learn about Orthotopic Neobladder Reconstruction Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Orthotopic Neobladder Reconstruction and request assistance for cost estimates or appointments.

About Orthotopic Neobladder Reconstruction

Orthotopic neobladder reconstruction is a sophisticated urological surgery performed to create a new bladder from a segment of the patient's own intestine after the removal of the diseased bladder (cystectomy), most commonly due to invasive bladder cancer. This procedure allows for the most natural form of urinary diversion, as the new bladder is connected to the urethra, enabling the patient to urinate voluntarily through the normal pathway without the need for an external stoma or bag. The urologist meticulously shapes a portion of the small or large intestine into a spherical reservoir, which then stores urine and is emptied by relaxing the pelvic floor muscles and increasing abdominal pressure. It is a major surgery that offers a significant improvement in quality of life for suitable candidates by preserving body image and near-normal urinary function.

Key Highlights

    Preserves the ability to urinate naturally through the urethra, avoiding an external stoma.Offers a better body image and quality of life compared to other diversions like an ileal conduit.The neobladder stores urine, providing continence for most patients.Utilizes the patient's own intestinal tissue, reducing rejection risks.Can be performed robotically (minimally invasive) or via open surgery, depending on the case.

Who is this surgery for?

  • Muscle-invasive bladder cancer requiring radical cystectomy.
  • Certain cases of high-risk, recurrent non-muscle-invasive bladder cancer.
  • Select cases of benign conditions causing severe, irreversible bladder dysfunction (e.g., radiation cystitis, neurogenic bladder) when other treatments fail.
  • Patients who are medically fit for major surgery and motivated to participate in post-operative rehabilitation.
  • Patients with intact urethral sphincter function and no cancer involvement at the urethral margin.

How to prepare

  • Comprehensive medical evaluation including cardiac and pulmonary tests.
  • Complete bowel preparation (clear liquid diet, laxatives) to clean the intestine.
  • Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised.
  • Nutritional optimization and smoking cessation.
  • Pre-operative counseling with a stoma therapist, even if a stoma is not planned, for education.
  • Psychological preparation and setting realistic expectations for recovery and functional outcomes.

Risks & possible complications

  • Surgical risks: Bleeding, infection, blood clots (DVT/PE), and injury to nearby organs.
  • Bowel-related: Bowel obstruction, leakage from the intestinal anastomosis, or chronic diarrhea.
  • Urinary: Daytime or nighttime incontinence (leakage), difficulty emptying the neobladder completely (retention), urinary tract infections, and stone formation in the reservoir.
  • Metabolic: Electrolyte imbalances due to absorption of urinary contents by the intestinal segment.
  • Long-term: Risk of urethral recurrence of cancer and potential need for intermittent self-catheterization.

Recovery & hospital stay

  • Initial hospital stay involves monitoring, pain management, and gradual mobilization.
  • Drains and catheters (urethral and sometimes abdominal) are placed to drain the neobladder and allow healing; they are removed over days to weeks.
  • Patients learn a specific voiding technique involving relaxation and abdominal straining.
  • Strict follow-up for teaching pelvic floor exercises and intermittent self-catheterization if needed for incomplete emptying.
  • Diet progresses from liquids to solids, focusing on high protein and fiber for healing.
  • Regular follow-up visits for assessing continence, neobladder function, and cancer surveillance.
  • checked Typical hospital stay: 7-14 days
  • checked Expected recovery time: 6-12 weeks for basic activities; 3-6 months for full functional recovery

Frequently Asked Questions

If you are considering orthotopic neobladder reconstruction in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for orthotopic neobladder reconstruction compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 350 Thousand – 800 Thousand 7-14 days ~ 6-12 weeks for basic activities; 3-6 months for full functional recovery Know More
Turkey TRY 1.23 Million – 2.8 Million 7-14 days ~ 6-12 weeks for basic activities; 3-6 months for full functional recovery Know More

Top hospitals for Orthotopic Neobladder Reconstruction in India

These partner hospitals in India have dedicated urology teams and experience managing patients undergoing orthotopic neobladder reconstruction.

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Kamineni Hospital LB Nagar

  • IconHyderabad, India
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1681+ Rating

Manipal Hospital Dwarka

  • IconDelhi, India
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1610+ Rating

Manipal Hospital Varthur Road

  • IconBangalore, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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1837+ Rating

Manipal Hospital Salem

  • IconSalem, India
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847+ Rating

Manipal Hospital Sarjapur Road

  • IconBangalore, India
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2882+ Rating

Manipal Hospital Whitefield

  • IconBangalore, India
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534+ Rating

Manipal Hospital Yeshwanthpur

  • IconBangalore, India
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537+ Rating

Manipal Hospitals Broadway

  • IconKolkata, India
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5990+ Rating

Manipal Hospital Rangapani

  • IconSiliguri, India
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10171+ Rating

Miot Hospital Chennai

  • IconChennai, India
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135+ Rating

Manipal Hospital Goa

  • IconPanaji, India
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185+ Rating

Manipal Hospital Ranchi

  • IconRanchi, India
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872+ Rating

Manipal Hospital Millers Road

  • IconBangalore, India
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1161+ Rating

Artemis Hospital Gurgaon

  • IconGurgaon, India
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694+ Rating

Manipal Hospital Kharadi

  • IconPune, India
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156+ Rating

Manipal Hospital Patiala

  • IconPatiala, India
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20+ Rating

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
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5740+ Rating

Manipal Hospital Old Airport Road

  • IconBangalore, India
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PATIENT REVIEW

Robert Iyer, a 62-year-old retired army...

Robert Iyer, a 62-year-old retired army colonel, was a stoic man who ignored intermittent bloody urine for months, attributing it to old age. A subsequent diagnosis of advanced bladder cancer came as a brutal shock. Used to being in command, he found the loss of bodily control humiliating. His urologist recommended the neobladder procedure, emphasizing its fit for his active, disciplined nature and its avoidance of an external appliance. Robert approached the surgery like a military campaign, but the reality of recovery, the incontinence, the strict catheterization schedule, the fatigue, was a profound challenge to his self-reliance. He struggled with anger and depression, feeling betrayed by his own body. His turning point came when he began to see his recovery as a new mission. With regimented pelvic floor therapy and voiding schedules, he made steady progress. Two years later, Robert is continent day and night, plays golf regularly, and leads a veteran support group. His emotional journey moved from stubborn denial to vulnerable struggle, and finally to a hard-won acceptance and deep appreciation for the skilled surgery that gave him back his independence and dignity.

Urologists for Orthotopic Neobladder Reconstruction

Explore experienced urologists who regularly perform orthotopic neobladder reconstruction and provide pre- and post-operative care in India.

Dr. Prof. R Manikandan
  • 17 Years Experience
  • Urologist
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. K Anand
  • 6 Years Experience
  • Urologist
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. G Suresh
  • 8 Years Experience
  • Urologist
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Ajay Shetty
  • 26 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. V Mohan Kumar
  • 20 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Nagarajan P
  • 17 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Vikram G D
  • 17 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Vishnu Prasad
  • 8 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 950
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Surya Kant Choubey
  • 24 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Harsha R
  • 8 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 750
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Bhadrappa Manohar
  • 11 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Rajasekar M
  • 8 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Prakash Babu
  • 17 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

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Dr. Shrinivas RP
  • 16 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Lokesh
  • 13 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Deepak Dubey
  • 36 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

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Dr. Shivashankar
  • 39 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Yogesh Garg
  • 15 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Dinesh Kumar T P
  • 16 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Thimmaiah
  • 13 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated