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Related Concept Videos

Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
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The Micturition Reflex01:26

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Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
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Related Experiment Video

Updated: Jun 4, 2025

In Vivo Luminal Measurement of Distension-Evoked Urothelial ATP Release in Rodents
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Continent catheterizable channels: Does "hitching" the bladder reduce complications?

Nicholas A Elliott1, Elizabeth B Yerkes2, Josephine Hirsch2

  • 1Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, United States.

Journal of Pediatric Urology
|January 4, 2025
PubMed
Summary

Bladder "hitching" during continent catheterizable channel (CCC) creation for neurogenic bladders did not significantly reduce complications like stenosis or incontinence. This surgical technique does not appear to lower the need for future revisions compared to standard CCC procedures.

Keywords:
Continent catheterizable channelNeurogenic bladderReconstructive urologic surgery

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Area of Science:

  • Urology
  • Surgical Reconstruction
  • Neurogenic Bladder Management

Background:

  • Continent catheterizable channels (CCC) are vital for neurogenic bladder reconstruction.
  • Common complications include false passage, stenosis, incontinence, and stomal issues, often requiring revision.
  • The efficacy of

Purpose of the Study:

  • To evaluate if stabilizing the bladder to the abdominal wall (

Main Methods:

  • A retrospective cohort study analyzed 105 patients with CCCs (2/2005-6/2019).
  • Patients were divided into

Main Results:

  • No significant demographic or diagnostic differences were found between hitched and non-hitched groups.
  • Rates of revision for catheterization difficulty (4.8% vs 9.5%), channel incontinence (0% vs 3.6%), and stomal stenosis revision (4.8% vs 4.8%) were not significantly different.
  • Survival analysis showed no difference in time to complications between the groups.

Conclusions:

  • Routine bladder