Advanced Treatment for Complex Urinary Dysfunction at Prestige Medical Group
Some urinary conditions are more complex and require a combined surgical approach to restore proper bladder function. A Combination of LVR (Laparoscopic Vesical Reconstruction) and DLV (Diverticulectomy or Diverticular Lesion Management) is a specialized procedure used to treat structural abnormalities of the bladder that contribute to urinary symptoms.
At Prestige Medical Group, we provide expert evaluation and individualized treatment planning for patients with complex bladder conditions, ensuring the most effective and minimally invasive approach whenever possible.
What Is LVR (Laparoscopic Vesical Reconstruction)?
6
Laparoscopic Vesical Reconstruction (LVR) is a minimally invasive procedure used to repair or reconstruct the bladder when its normal structure has been compromised.
This may involve:
- Reshaping the bladder
- Repairing defects or damage
- Restoring normal bladder capacity and function
The procedure is performed using small incisions and specialized instruments, allowing for a faster recovery compared to open surgery.
What Is DLV (Diverticulectomy / Diverticular Lesion Treatment)?
5
DLV typically refers to the treatment or removal of a bladder diverticulum, which is an outpouching or pocket that forms in the bladder wall.
Bladder diverticula can:
- Trap urine
- Lead to infections
- Cause incomplete emptying
- Contribute to urinary retention or obstruction
A diverticulectomy removes this abnormal pouch and helps restore normal bladder function.
Why Combine LVR & DLV?
In some patients, bladder dysfunction is caused by both structural abnormalities and diverticula. Performing these procedures together allows the surgeon to:
- Correct multiple issues in one surgery
- Improve bladder emptying
- Reduce urinary symptoms
- Restore more normal bladder anatomy
This combined approach is often recommended when treating complex or longstanding urinary conditions.
Conditions Treated with LVR & DLV
A combined LVR & DLV procedure may be used for:
- Bladder diverticulum
- Chronic urinary retention
- Recurrent urinary tract infections
- Bladder outlet obstruction complications
- Structural bladder abnormalities
- Dysfunction due to long-term pressure changes in the bladder
Your provider will determine if this approach is appropriate based on imaging, symptoms, and overall health.
What to Expect During the Procedure
Before Surgery:
- Imaging studies (ultrasound, CT scan, or cystoscopy)
- Urologic evaluation and testing
- Preoperative clearance
During Surgery:
- Performed under general anesthesia
- Minimally invasive (laparoscopic or robotic-assisted) approach
- Removal of diverticula (DLV)
- Reconstruction of bladder structure (LVR)
The procedure length varies depending on complexity but is typically several hours.
Recovery After LVR & DLV
After surgery, patients may experience:
- Temporary urinary catheter placement
- Mild to moderate discomfort
- Fatigue during recovery
Typical recovery includes:
- Hospital stay of 1–3 days
- Catheter use for a short period to allow healing
- Gradual return to normal activity over 2–6 weeks
Your provider will guide you through each stage of recovery and follow-up care.
Benefits of a Combined Approach
- Addresses multiple bladder issues in one procedure
- Minimally invasive technique
- Improved bladder function and emptying
- Reduced risk of recurrent infections
- Fewer surgeries compared to staged procedures
Risks and Considerations
As with any surgery, potential risks may include:
- Bleeding
- Infection
- Injury to surrounding structures
- Urinary leakage or retention
- Need for additional procedures
These risks are generally low when performed by experienced urologic surgeons.
Alternatives to Surgery
Depending on your condition, alternatives may include:
- Observation and monitoring
- Medications for bladder symptoms
- Catheter-based management
- Less invasive procedures
However, structural issues like diverticula often require surgical correction for long-term relief.
Why Choose Prestige Medical Group?
At Prestige Medical Group, we specialize in advanced urologic care with a focus on:
- Minimally invasive and robotic techniques
- Comprehensive bladder evaluation
- Personalized treatment planning
- Compassionate, patient-centered care
We work closely with each patient to ensure the best possible outcomes and long-term urinary health.
Frequently Asked Questions (FAQs)
What is a bladder diverticulum?
A bladder diverticulum is a pouch that forms in the bladder wall, which can trap urine and cause symptoms.
Is this procedure minimally invasive?
Yes. LVR & DLV are typically performed using laparoscopic or robotic techniques with small incisions.
Will I need a catheter after surgery?
Yes, most patients will have a temporary catheter to allow the bladder to heal properly.
How long is recovery?
Most patients return to normal activities within 2–6 weeks, depending on the complexity of the surgery.
Will this improve my urinary symptoms?
In many cases, yes. The goal is to improve bladder emptying, reduce infections, and restore normal function.
Schedule a Consultation
If you are experiencing complex urinary symptoms or have been diagnosed with a bladder condition requiring advanced care, our team is here to help.
Prestige Medical Group
18302 Irvine Blvd #200
Tustin, CA 92780
📞 (949) 825-7650
🌐 prestigemedigroup.com