Medical questions & health advice by board certified doctors
"Is it possible to have children without urine bladder?"
I was born without urine bladder. Doctors put orthotopic neobladder inside me. Is there are troubles to have children?
If you are attempting to start a family, please see your doctor or gynecologist for the appropriate consultation regarding safe and best practices for getting pregnant. Regarding your bladder, there are multiple ways in which an orthotopic neobladder can be created, and it is important to discuss with your surgeon what exact procedure you had performed. Congenital agenesis of the urinary bladder can have multiple causes, and is often associated with other congenital abnormalities. One possibility is the absence of reproductive organs, therefore if you are having difficulty conceiving, it may be helpful to discuss your prior history with your doctor, and undergo imaging to confirm that you have the necessary reproductive organs present and functioning. Secondly, prior abdominal and pelvic surgery can lead to the formation of scar tissue called adhesions. Adhesions, through rarely, can cause abnormal tethering of pelvic organs, such as the uterus and fallopian tubes, which can make it more difficulty to get pregnant. This can also be evaluated with imaging such as pelvic and abdominal ultrasound. As long as your reproductive organs are present and functional, your prior history of congenital agenesis of the bladder should not necessarily preclude you from bearing children. Please see your doctor for evaluation to see if you are sufficiently healthy to attempt pregnancy.
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