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Related Concept Videos

Urinary Bladder01:23

Urinary Bladder

3.5K
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.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Irritable Bowel Syndrome I: Introduction01:17

Irritable Bowel Syndrome I: Introduction

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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
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Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

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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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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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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:
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Related Experiment Video

Updated: Feb 8, 2026

Robot-Assisted Kidney Transplantation
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Simultaneous Robotic-Assisted Laparoscopy for Bladder and Bowel Reconstruction.

Devin R Halleran1, Richard J Wood1, Alejandra Vilanova-Sanchez1

  • 11 Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, Ohio.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|June 21, 2018
PubMed
Summary

Robot-assisted laparoscopy enables simultaneous reconstruction for neurogenic bladder and bowel dysfunction, improving continence. This minimally invasive approach addresses both urinary and gastrointestinal needs effectively.

Keywords:
Malone appendicostomyMitrofanoff appendicovesicostomybladder neck reconstructionneoappendicostomy

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Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction
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Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Reconstructive Surgery

Background:

  • Neurogenic bladder often coexists with bowel dysfunction.
  • Simultaneous urologic and colorectal reconstruction is feasible.
  • Robot-assisted laparoscopy offers a minimally invasive approach for combined procedures.

Purpose of the Study:

  • To present experience with combined robot-assisted laparoscopic bowel and bladder reconstruction.
  • To demonstrate the utility of this approach for managing neurogenic bladder and bowel dysfunction.
  • To achieve social urinary and bowel continence.

Main Methods:

  • Retrospective review of patients undergoing combined bowel and urologic reconstruction.
  • Procedures performed using robot-assisted laparoscopy.
  • Analysis of patient demographics, surgical techniques, and outcomes.

Main Results:

  • Seven pediatric patients (mean age 6.4 years) with myelomeningocele or caudal regression underwent combined procedures.
  • Malone appendicostomies and Mitrofanoff conduits were common.
  • Successful urinary continence achieved in all patients, with 6/7 demonstrating clean antegrade flushes.

Conclusions:

  • Combined robot-assisted laparoscopic surgery can safely address both urologic and gastrointestinal needs in patients with neurogenic bladder.
  • Simultaneous reconstruction can achieve social urinary and bowel continence.
  • Careful pre-operative consideration of patient needs is crucial for successful outcomes.