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We should’ve hired Coach Prime

“Given his commitments to his family and to the team, he elected to undergo a bladder removal,” Kukreja said during the press conference. “We performed a full robot-assisted laparoscopic bladder removal and creation of a new bladder. And I am pleased to report that the results from the surgery are that he is cured from the cancer.”

There are several ways to reconstruct the bladder after removal, but Sanders’ team opted for a neobladder, in which part of the intestine is used to create a new bladder that’s remarkably close to normal anatomy. Patients typically stay in the hospital for two to five days after surgery, and then use a catheter for a couple weeks before beginning to train their new bladder, Kukreja says. “When people empty, they have to kind of push their abdominal muscles, like they're doing a sit-up,” she says. “It’s not hard to learn—it’s just a new muscle memory. Most people can do it and do it well.”

About half of people with a neobladder experience leakage overnight, Kukreja says, which Sanders spoke candidly about during the press conference. “It’s a totally different life,” he said. “I depend on Depends … I cannot control my bladder.” At one point, he joked that he may need to have a "porta potty on the sideline” of games in case he needed to pee.

Still, patients who opt for bladder removal tend to recover well after surgery. “Our surgeons here have looked at it, and about a year after surgery, quality of life is mostly at baseline in the most important ways,” Rosenberg says. “People can do almost everything they want to do in life regardless of the type of urinary reconstruction. It’s a big change, and it's not a trivial surgery, but it's hopefully a curative surgery and gets rid of the problem.”
 
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