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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...

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Related Experiment Video

Updated: May 9, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Rediversion after urinary diversion: a single-centre experience.

Fredrik Liedberg1, Stig Colleen, Thomas Davidsson

  • 1Department of Urology, SUS , Malmö , Sweden.

Scandinavian Journal of Urology
|July 30, 2013
PubMed
Summary

Urinary rediversion can lead to complications and reoperations, though modern continent diversions offer good results. Patient counseling is vital, especially for those struggling with urostomy bags.

Related Experiment Videos

Last Updated: May 9, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Area of Science:

  • Urology
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Urinary diversion is a complex procedure with potential long-term complications.
  • Rediversion may be necessary to address issues arising from initial urinary diversion.
  • Understanding the late results of rediversion is crucial for surgical planning.

Purpose of the Study:

  • To evaluate the long-term outcomes and complications associated with urinary rediversion.
  • To assess the efficacy of different rediversion techniques.
  • To identify factors influencing patient success after rediversion.

Main Methods:

  • Retrospective analysis of 28 patients undergoing urinary rediversion between 1985 and 2009.
  • Categorization of rediversion types including ileal conduit, cutaneous ureterostomy, ureterosigmoidostomy, and continent cutaneous diversion.
  • Median follow-up of 147 months to assess late functional results and complications.

Main Results:

  • Nine of 17 patients in group I required reoperations; 14 achieved excellent functional results.
  • Complications included ureterointestinal stricture, ureteric strictures, renal stones, and small bowel obstruction.
  • Two patients with Kock pouches ultimately needed conversion to an ileal conduit.

Conclusions:

  • Urinary rediversion is associated with a significant rate of complications and reoperations.
  • Modern continent cutaneous diversion techniques can yield excellent functional outcomes.
  • Comprehensive patient information and counseling are essential, particularly for those facing challenges with urostomy appliance use.