of patients require no further surgeries after reconstructive surgeries
95,9 %
of patients experience no significant complications after reconstructive surgeries
97,3 %
Benefits of Dr. Sarychev's Surgery
97,3 % — without significant complications
This method is used as a so-called second-line therapy when endoscopic treatment (incision through the urethra) is not successful.
Special Features
Scar tissue in this area can narrow the bladder outlet and impair urine flow, leading to difficulties during urination, residual urine, urinary tract infections, stone formation, and ultimately the loss of bladder and kidney function.
Symptoms
The causes can be both congenital and acquired, for example, as a result of inflammations or frequently after prostate treatments, such as surgeries or radiation.
Causes
Da-Vinci bladder neck reconstruction is a robot-assisted, minimally invasive keyhole surgery requiring special surgical expertise. Instruments are inserted under general anesthesia through small abdominal incisions and then controlled by the surgeon via a console.
Bladder
About the procedure
Uroviva Praxis, Männedorf
Consultation
Spital Männedorf
Spital Herisau
Spital Herisau
Surgery locations
no dressings, the stitches are self-dissolving
Wounds
minimal, oral painkillers
Pain
3 - 7 days
Catheter
2 days
Hospital stay
1 - 2 hours
Surgery time
Da Vinci, robot-assisted
Method
Treatment information
Bladder neck reconstruction, or plastic reconstruction at the bladder neck, is performed in patients with pronounced scar-related narrowing of the bladder neck.
Bladder neck
reconstruction
reconstruction
How is the surgery performed?
Questions about the procedure
3 questions
01/
The success of the operation depends on the team’s experience and specific patient data.
During the surgery, disturbing scars at the bladder neck are removed, a new connection of the healthy tissue of the bladder with the urethra is established, and a bladder catheter is inserted for healing.
What risks should be considered?
02/
Possible side effects include urinary retention, urinary tract infections, or renewed scarring. Involuntary urine loss or erectile dysfunction depends on the degree of scarring and is rather rare.
Surgery-specific risks
Previous surgeries, illnesses, or medications can affect the course of the operation and postoperative recovery. These risks are assessed individually based on the patient’s medical history.
Patient-specific risks
Every surgery carries risks such as bleeding during or after the operation, damage to adjacent organs, or wound healing problems.
General surgical risks
What happens after the surgery?
03/
After the surgery, which aims at restoring normal urine flow, continuous monitoring of urination is essential. Moreover, a balanced diet, adequate fluid intake, exercise, and sleep support recovery and strengthen long-term health.
Surgery videos
Da-Vinci procedures by Dr. Sarychev on YouTube.
YouTube · @DrSarychev
Watch surgery videos
@DrSarychev