Orthotopic Neobladder Reconstruction Treatment in Turkey
About Orthotopic Neobladder Reconstruction
Key Highlights
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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.
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Typical hospital stay:
7-14 days
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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 Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for orthotopic neobladder reconstruction in Turkey include Istinye Üniversitesi Hastanesi Liv, VM Medical Park Pendik Hastanesi, Medical Park Florya, Medical Park Bahçelievler, Medical Park Bahçelievler, Liv Hospital Ankara, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform orthotopic neobladder reconstruction. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
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 | USD 3,854 – USD 8,809 | 7-14 days | ~ 6-12 weeks for basic activities; 3-6 months for full functional recovery | Know More |
| Turkey | USD 28,685 – USD 65,565 | 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 Turkey
These partner hospitals in Turkey have dedicated urology teams and experience managing patients undergoing orthotopic neobladder reconstruction.
Istanbul, Turkey
150 Doctors
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 Turkey.
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