A clam cystoplasty is a quite major surgery, in this method the bladder is enlarged by insertion of a segment of patient’s bowel (usually the small intestine) into the bladder wall. High pressures that develop in the bladder may cause urgency and urinary leakage. Rarely this pressure in the bladder may be high enough that may cause damage to the kidneys. And may also have an overactive sphincter muscle, and autonomic dysreflexia.

The main aims of the operation are:
  • To protect the kidneys from the effects caused by the high bladder pressures

  • To decrease the occurrence with which you have to empty the bladder or undertake self-intermittent catheterization.

  • To increase the bladder capacity

  • To control autonomic dysreflexia.

  • Prior to the surgery patients bowels are to be completely emptied with the help of laxatives.

  • Clam cystoplasty was done by giving general anesthesia and complete surgery may takes about 3 to 5 hours.

  • To expose patients bladder doctor may make a vertical incision on the lower half of patients abdomen or a horizontal curved incision at the bikini line.

  • The bladder wall is cut about completely to form two halves that are similar to clam shells. This obstructs the generation of high pressure with every contraction of the bladder. A patch of tissue which is taken from the intestine (along with the blood vessels) and sutured to the bladder.

  • Drains are placed to the patient’s because to remove excess blood and drain urine for a few weeks. Patient’s will be discharged after about 7 to 14 days. But a catheter is place in your bladder for up to 4 weeks this will help you to pass urine while your bladder is healing.

After the surgery may be some of the complications may occur like urinary tract infections, incontinence, mucous accumulation in urine, problems with emptying the bladder.