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Urinary Bladder01:23

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
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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...
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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Post open prostatectomy bladder exteriorization mimicking "acquired bladder extrophy".

Ao Takure1, Vc Onuora, W Akerele

  • 1Urology Division, Department of Surgery, University College Hospital, Ibadan, Nigeria.

Open Access Journal of Urology
|November 8, 2013
PubMed
Summary
This summary is machine-generated.

A post-prostatectomy patient experienced urinary leakage and a supra pubic defect. Surgical closure of the defect successfully restored urinary continence.

Keywords:
adult bladder exstrophybladder exteriorizationpost open prostatectomy

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Area of Science:

  • Urology
  • Surgical Outcomes

Background:

  • Open prostatectomy is a surgical procedure for benign prostatic hyperplasia or prostate cancer.
  • Post-prostatectomy complications can include urinary leakage and incisional defects.
  • Management of post-surgical defects requires careful evaluation and intervention.

Observation:

  • A 58-year-old Nigerian male presented with a 10-week history of urinary leakage and a widening supra pubic defect.
  • The patient had undergone open prostatectomy three months prior.
  • Physical examination revealed the posterior bladder wall and visible trigone through the defect.

Findings:

  • The supra pubic defect was surgically closed.
  • The patient achieved urinary continence following the closure procedure.

Implications:

  • Surgical repair of post-prostatectomy supra pubic defects can effectively restore urinary continence.
  • This case highlights the importance of timely surgical intervention for managing complex post-prostatectomy complications.
  • Successful management of such defects improves patient quality of life and reduces healthcare burden.