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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Ostomy Care01:24

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...

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Related Experiment Videos

Incontinent ileovesicostomy: Long-term outcomes and complications.

Nicholas J Hellenthal1, Scott S Short, R Corey O'Connor

  • 1Department of Urology, University of California Davis Medical Center, Sacramento, CA 95817, USA. nicholas.hellenthal@ucmdc.ucdavis.edu

Neurourology and Urodynamics
|March 11, 2009
PubMed
Summary
This summary is machine-generated.

Incontinent ileovesicostomy offers a solution for neurogenic voiding dysfunction when clean catheterization isn't feasible. While complications are common, it can reduce infections and hospitalizations for select patients.

Related Experiment Videos

Area of Science:

  • Urology
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Incontinent ileovesicostomy emerged in the mid-1990s for neurogenic voiding dysfunction.
  • It serves patients unable to perform clean intermittent catheterization.
  • Limited long-term outcome data exists for this procedure.

Purpose of the Study:

  • To review the long-term outcomes and complications of incontinent ileovesicostomy.
  • To analyze patient experiences with this surgical option.

Main Methods:

  • Retrospective review of 12 patients undergoing incontinent ileovesicostomy since 1998.
  • Assessment of preoperative, postoperative, and procedure-specific complications.
  • Evaluation of long-term urinary tract issues and infection management.

Main Results:

  • All 12 patients experienced urinary tract problems post-procedure.
  • 58% of patients reduced antibiotic use or hospital admissions for infections.
  • 17% of patients required conversion to an ileal conduit.

Conclusions:

  • Incontinent ileovesicostomy is a viable option for refractory lower urinary tract dysfunction.
  • It should be considered after less invasive treatments fail and for quality of life improvement.
  • Ongoing surveillance is crucial for managing potential complications.