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Building a New Bladder

Reviewed By: Andrew Seibert,

SOURCES: 2010 Medical Reference from Medstar Television. Carol Salem, MD, Urologic Cancer Surgeon, Scripps Mercy Hospital, San Diego.

© 1999-2011 Medstar Television

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Narrator:

Will Hurley (HURL-e) was only 41 when he got some grim news. He had bladder cancer and needed surgery.

Will Hurley:

We're gonna' remove your bladder and your prostate, your urethra and you will have an ileal conduit, a bag.

Jennifer Torio-Hurley:

I thought, he'll, you know, have to urinate in a bag.

Narrator:

But a second opinion brought the couple a collective sigh of relief. Surgeon Carol Salem (sail-uhm) said she could build will a new bladder.

Carol Salem, M.D.:

He almost had a hard time believing me. He had to go around and make sure that what I was saying was even possible.

Narrator:

It was. So it was good news for will - but there was a catch. Getting the new bladder depended on the extent of his cancer.

Carol Salem, M.D.:

They can't have that done if at the time of surgery we find cancer on the stump of the urethra.

Will Hurley:

Going into the surgery, I did not know what my outcome would be.

Narrator:

In the procedure, surgeons first remove the diseased bladder. Then take a portion of the small bowel and reshape it into a sphere. The new, so-called neobladder is connected to the kidneys.

Carol Salem, M.D.:

So, the kidneys are now draining into this sphere, this new bladder. And we suture it back to the urethra. It's very cool.

Narrator:

What's also cool is doctors can now use robotic technology, so what used to be a very bloody procedure, is less invasive.

Carol Salem, M.D.:

That would allow us to get these organs out in the deep pelvis, with this, you know, three dimensional technology and these tiny instruments that allow us to see these blood vessels much easier.

Narrator:

There's less blood loss, less nerve damage, fewer complications and patients recover faster. When will woke up from the procedure, he learned he qualified for the new bladder. and more good news: surgeons were able to remove all the cancer.

Will Hurley:

I would say that I got the best possible results from the surgery.

Narrator:

Now, with the disease behind him, he can put his focus back on his young family. For WebMD, I'm Damon Meharg.

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