Pharmacie Kennedy Mulhouse

Neobladder after cancer: why learn a different way to urinate?

A neobladder made from intestine does not work like a natural bladder. The team helps plan emptying and rehabilitation.

Editorial illustration of a health discussion; it does not depict the pharmacy’s actual premises.
Editorial illustration — Kennedy Pharmacy Mulhouse

General information, not an individual diagnosis. Ask a healthcare professional if you are unsure about your situation.

After bladder removal for cancer, some people can have a neobladder created when the urethra is retained. It is made from a segment of intestine to collect urine.

The neobladder does not contract like a natural bladder and the usual sensation of needing to urinate is lost. You therefore need to learn a new emptying routine with your team.

Ameli advises urinating very regularly to limit leakage, especially at night. Before going home, ask for a schedule suited to your situation, then adjust it with the team.

Pelvic floor rehabilitation with a physiotherapist helps you learn to urinate differently and regain continence. Leakage may decrease gradually; tell the team about difficulties rather than managing them alone.

Cancer follow-up remains necessary after surgery. Depending on your situation, visits may involve blood or urine tests and imaging; ask for your own schedule.

If you cannot pass urine, seek urgent medical assessment without waiting for the planned check. Outside this situation, tell your doctor promptly about any abnormal symptom, including blood in urine or fever, and bring the appointment forward if needed. Keep the agreed checks and rehabilitation.

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