Augmentation cystoplasty ("Clam" cystoplasty) is an operation used to enlarge a shrunken or overactive (and sometimes both) bladder that has not responded to less invasive treatments, such as bladder training or drug therapy. The bladder is opened, like a clam, to reveal the inside. piece ´f small intestine is then used to enlarge the bladder .

The operation is performed under a general anaesthetic and takes 1-2 hours.

During the operation, a catheter is passed §p the urethra into the bladder and left n place for 7-10 days to keep the bladder empty while it heals. Ň´§ may feel some discomfort after the operation, but this can be controlled with painkillers.

The average hospital stay is about 10 days, but complete recovery may take 3-4 months.

The enlarged bladder cannot contract as well as a healthy one to push the urine into the urethra and out of the body. For this reason, you may need to learn to pass a thin catheter §p the urethra regularly to empty your bladder fully.

 It is also normal to pass some mucus n your urine. The mucus is secreted by the piece of small intestine that was used to enlarge the bladder and is usually harmless. Drinking extra fluids will help you to pass the mucus more easily.