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Treatment of Ejaculatory Duct Obstruction by Seminal Vesiculoscopy Assisted Flow Modification
Published on: December 8, 2023
Vesical Exclusion: (Section of Urology)
Proceedings of the Royal Society of Medicine
|December 9, 2009
Summary
Vesical exclusion surgery reroutes urine flow, offering a safe solution for various bladder conditions. This procedure, particularly in non-malignant cases, shows long-term viability with minimal disability.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Vesical exclusion involves deviating urine from the bladder to the colon or skin.
- Indications include vesical exstrophy, severe vesico-vaginal fistula, and bladder carcinoma.
Purpose of the Study:
- To evaluate the safety and efficacy of vesical exclusion surgery.
- To assess long-term outcomes and patient quality of life.
Main Methods:
- Review of 60 cases undergoing vesical exclusion.
- Pre-operative assessment including excretion urography and rectal sphincter competence.
- Operative technique under twilight sleep and spinal anesthesia with specific post-operative care.
Main Results:
- Low operative mortality in non-malignant conditions; high in malignant disease.
- No significant disability from cloaca formation.
- Long-term survival is not appreciably diminished in stabilized patients.
Conclusions:
- Vesical exclusion is a safe and effective procedure for specific urological conditions.
- Careful pre- and post-operative management is crucial for successful outcomes.
- The procedure can significantly improve quality of life without compromising life expectancy.
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