AnatomyOrganismsDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and OccupationsHumanitiesInformation ScienceHealth CareGeographicals
Urinary DiversionUreterostomyUrinary Reservoirs, ContinentKidneyDisease ReservoirsUrinary BladderKidney DiseasesUrinary Tract InfectionsUrinary IncontinenceKidney TransplantationUrinary TractKidney TubulesAfricaUrinary Incontinence, StressUrinary CatheterizationIleostomyPhylogenySouth AmericaKidney CortexGeographyAmericasAcute Kidney InjuryUrinary CalculiNorth AmericaKidney Failure, ChronicUrinary RetentionKidney GlomerulusUrodynamicsKidney Function TestsKidney NeoplasmsUrinary Bladder NeoplasmsPolycystic Kidney DiseasesKidney Tubules, ProximalEuropeKidney MedullaAsiaPhylogeographyKidney CalculiGenetic VariationMolecular Sequence DataUrineSequence Analysis, DNACreatinineUrinary Bladder DiseasesTime FactorsFresh WaterHistory, AncientGeologyAustraliaAnimals, WildFecal IncontinenceEcosystemKidney Tubules, CollectingGlomerular Filtration RateUrethraAnal CanalUrinary Incontinence, UrgeZoonosesClimateKidney Concentrating AbilityUrinary Bladder, NeurogenicDogsPolycystic Kidney, Autosomal DominantUrinationProteinuriaSpecies SpecificityUrinalysisCystectomyPolymerase Chain ReactionBiodiversityBiological MarkersGenetics, PopulationBase Sequence
UrineCutaneous urinaryPouchTract infectionsIncontinenceIleal conduitStomaNeobladderUretersInfectionsIncontinentUrethraInfectionRenalCalculiBladder stonesReconstructionSurgicalExcretionBowel to createUric acidAntarcticaUrostomyPostoperativeProcedureStonesSymptomsCancerRodentAbdomenSurgeryRadicalUrinateIncludeStoneLiverTreatmentFormationPatientsMethod
Urine25
  • An Indiana pouch is a surgically-created urinary diversion used to create a way for the body to store and eliminate urine for patients who have had their urinary bladders removed as a result of bladder cancer, pelvic exenteration, bladder exstrophy or who are not continent due to a congenital, neurogenic bladder. (wikipedia.org)
  • This particular urinary diversion results in a continent reservoir that the patient must catheterize to empty urine. (wikipedia.org)
  • In contrast to other urinary diversion techniques, such as the ileal conduit urinary diversion, the Indiana pouch has the advantage of not using an external pouch adhered to the abdomen to store urine as it is created inside of the body. (wikipedia.org)
  • Stones in the Urinary Tract Stones (calculi) are hard masses that form in the urinary tract and may cause pain, bleeding, or an infection or block of the flow of urine. (msdmanuals.com)
  • Hypocitraturia, a low amount of citrate in the urine, is an important risk factor for kidney stone formation. (medscape.com)
  • First, citrate complexes to calcium ions in the urine, reducing calcium ion activity, which results in lowering the urinary supersaturation of calcium phosphate and calcium oxalate. (medscape.com)
  • Citrate also increases the calcium oxalate aggregation inhibitory activity of urine macromolecules (eg, Tamm-Horsfall protein) and may reduce the expression of urinary osteopontin, which is an important component of the protein matrix of urinary stones. (medscape.com)
  • Urinary diversion is a surgical procedure in which the flow of urine from the body is diverted to an artificial urinary device, such as a catheter, stoma (opening), or continent urinary reservoir. (enctoday.com)
  • A urinary catheter is a thin, soft tube that is passed through the urethra and into the bladder to drain urine from your body. (enctoday.com)
  • A urinary diversion stoma is an opening in the skin that drains urine from the body. (enctoday.com)
  • A continent urinary reservoir/bladder substitute is an artificial device that collects urine and stores it until it can be emptied through normal urination, usually by self-catheterization (inserting and removing catheters). (enctoday.com)
  • 1. Urinary incontinence (leakage of urine) - This is a very common complication of bladder removal. (enctoday.com)
  • Continent urinary diversion is a pouch made from your small bowel inside your body to store urine. (healthybladderclub.com)
  • The bladder collects and stores urine, which has passed from the kidneys through the ureter. (bumrungrad.com)
  • If the entire bladder is completely removed, a new urinary tract must be constructed for urine to exit the body. (bumrungrad.com)
  • Ileal Conduit Urinary Diversion - A segment of the distal small intestine, the ileal, is used for the diversion of urine, which drains freely from the ureters. (bumrungrad.com)
  • Either a section at the end of the small bowel (ileum) or at the beginning of the large intestine (cecum) is surgically removed and relocated as a passageway (conduit) for urine to pass from the kidneys to the outside of the body through a stoma. (geosg.org)
  • A urinary diversion will provide the body a means to potentially store and eliminate urine once the bladder has been removed. (umms.org)
  • Continent catheterizable reservoir - This procedure involves creation of an internal pouch using a portion of the intestines in order to store urine. (umms.org)
  • Urinary diversion is a surgical reconstruction to drain the urine from the kidneys and ureters when the bladder will no longer be used. (usadelaware.com)
  • It's continent because generally it does not leak urine but in order to drain this pouch you must catheterize the pouch 4-6 times a day. (usadelaware.com)
  • Another method of urine diversion is a continent reservoir. (somerseturological.com)
  • Short term complications such as acidosis, leakage of urine or stool, bowel obstruction, and kidney infection are common. (somerseturological.com)
  • Urine is made in the renal tubules and collects in the renal pelvis of each kidney. (wustl.edu)
  • The urine flows from the kidneys through the ureters to the bladder. (wustl.edu)
Cutaneous urinary3
  • Continent diversion includes creation of an orthotopic neobladder and continent cutaneous urinary diversion. (biomedcentral.com)
  • For continent cutaneous urinary diversion, an intestinal segment is used to create a low-pressure urinary reservoir, connected to an opening in the abdominal wall with a catheterizable continence mechanism. (biomedcentral.com)
  • In a retrospective study of more than 800 patients who underwent continent cutaneous urinary diversion, stomal stenosis was seen in 23.5% and stone formation in the pouch was seen in 10% of patients [ 7 ]. (biomedcentral.com)
Pouch6
  • With this type of surgery, a reservoir, or pouch, is created out of approximately two feet of the ascending colon and a portion of the ileum (a part of the small intestine). (wikipedia.org)
  • In this surgical variation of the ileostomy, a reservoir pouch is created inside the abdomen with a portion of the terminal ileum. (geosg.org)
  • A catheter or tube is inserted into the pouch several times a day to drain feces from the reservoir. (geosg.org)
  • In both the Indiana and Kock pouch versions, a reservoir or pouch is created inside the abdomen using a portion of either the small or large bowel. (geosg.org)
  • This type of diversion is called a continent cutaneous pouch or reservoir. (usadelaware.com)
  • Furthermore, surgery results in a permanent change to urinary tract anatomy, with reconstructive options including incontinent urinary pouch (ileal conduit), continent cutaneous reservoir, and orthotopic ileal reservoir. (cancernetwork.com)
Tract infections3
Incontinence1
Ileal conduit6
  • Ileal conduit - This is the most common and simplest urinary diversion. (umms.org)
  • This study aimed to assess the efficacy of modified ileal conduit surgery for reducing early and late stoma- and ureteroileal anastomosis-related complications, as compared with conventional ileal conduit urinary diversion. (biomedcentral.com)
  • We retrospectively evaluated the clinical data of bladder cancer patients treated with radical cystectomy and ileal conduit urinary diversion at Sun Yat-sen University Cancer Center between January 1, 2000 and June 30, 2016. (biomedcentral.com)
  • Our modified surgical technique for ileal conduit urinary diversion may be effective for reducing early and late complications related to the stoma and the ureteroileal anastomosis. (biomedcentral.com)
  • Incontinent urinary diversion consists of ureterocutaneostomy and ileal conduit urinary diversion. (biomedcentral.com)
  • Because of the short diameter of the stenosis of the ureter is likely at the anastomois, resulting in a higher frequency of ascending urinary tract infection after ureterocutaneostomy than after ileal conduit diversion [ 6 ]. (biomedcentral.com)
Stoma2
  • The second type is a continent diversion reservoir with stoma, also known as a urostomy. (somerseturological.com)
  • Long term complications include obstruction of the ureters or intestines, kidney problems such as renal failure, problems with the newly created opening (stoma), and scar tissue formation inside the intestines. (somerseturological.com)
Neobladder2
Ureters4
  • To protect the ureteral anastamosis, plastic stents are sometimes left in both ureters for six weeks after surgical urinary diversion. (usadelaware.com)
  • This is a possible option only if your urethra was not removed as part of the surgery, because the continent reservoir will attach to your ureters at one end and your urethra at the other. (somerseturological.com)
  • Your continent reservoir will connect your ureters to an opening the doctor makes in your belly. (somerseturological.com)
  • Anatomy of the male urinary system (left panel) and female urinary system (right panel) showing the kidneys, ureters, bladder, and urethra. (wustl.edu)
Infections2
  • 1] They are usually associated with urinary stasis but can form in healthy individuals without evidence of anatomic defects, strictures, infections, or foreign bodies. (medscape.com)
  • Since the first reports in 2009, many isolates across five continents have been identified as agents of hospital-associated infections. (biomedcentral.com)
Incontinent1
Urethra1
Infection4
  • 8. Infection - Bacteria from the skin can enter a surgical incision, causing an infection that could lead to further complications such as kidney damage or sepsis (a blood infection). (enctoday.com)
  • The virus exhibits persistent, asymptomatic infection with profuse urinary virus excretion in the ubiquitous rodent vector, Mastomys natalensi s. (folkhalsomyndigheten.se)
  • tent, asymptomatic infection, with profuse urinary virus excretion in Mastomys natalensi s, the ubiqui- The emergence of this highly virulent and contagious tous and highly commensal rodent host2,3. (folkhalsomyndigheten.se)
  • Vete n kov imkov A., Civ ov K ov K., Vo kov K., Vete n k L., Hejret V., Gettov L., Vorel J., Reslov N. & Bystr V. (2024): Heterosis versus breakdown in cyprinid hybrids associated with SVCV infection revealed by transcriptome profile analysis of head kidney. (muni.cz)
Renal2
  • Renal Pelvis and Ureter Cancer Cancer can occur in the cells lining the central collecting area of the kidney (the renal pelvis-usually a type called urothelial carcinoma of the renal pelvis) and in the slender tubes that. (msdmanuals.com)
  • Hantaan, Dobrava, Seoul, and Puumala viruses) cause hemorrhagic fever and renal syndrome (HFRS), in which the primary organ affected is the kidney. (cdc.gov)
Calculi6
  • Bladder (vesical) calculi are stones or calcified materials that are present in the bladder (or in a bladder substitute that functions as a urinary reservoir). (medscape.com)
  • The presence of upper urinary tract calculi is not necessarily a predisposition to the formation of bladder stones. (medscape.com)
  • The bladder is an uncommon site of urinary tract calculi in most Western countries, but bladder stones result in specific symptoms and are a significant source of discomfort. (medscape.com)
  • In women, voiding dysfunction and urinary stasis can occur but are less commonly associated with calculi. (medscape.com)
  • Most vesical calculi formed de novo within the bladder, but some initially may have formed within the kidneys as a dissociated Randall plaque or on a sloughed papilla and subsequently passed into the bladder, where additional deposition of crystals causes the stone to grow. (medscape.com)
  • 10 Still, the Afro-Asian endemic bladder calculi belt continues to be a cause of morbidity from endemic urinary stone disease. (pediatricurologybook.com)
Bladder stones1
  • Aggressive treatment of lower urinary tract symptoms with alpha-blockers and 5-alpha-reductase inhibitors should further decrease the overall incidence of bladder stones by improving bladder emptying. (medscape.com)
Reconstruction2
  • Potential AI applications in kidney cancer surgical training include analyzing surgical workflow, annotating instruments, identifying tissues, and 3D reconstruction. (bvsalud.org)
  • The impact of urinary reconstruction choice on postoperative quality of life has been widely studied, but choice of reconstruction technique may not significantly affect quality of life. (cancernetwork.com)
Surgical6
  • Historical urinary stone disease literature is fascinating with the morbidity of the disease, the mortality of the surgical attempted cures, and the descriptions of "lithotmus, stein-schnieider, clysters, lithotryptors to crush stone! (pediatricurologybook.com)
  • We are proud to be the first urologists in Delaware to offer robotic surgery for prostate cancer , bladder cancer and kidney cancer using the da Vinci Surgical system . (usadelaware.com)
  • One of the critical surgical features of any urinary diversion is the suturing of ureter to ileum (the ureteral anastamosis). (usadelaware.com)
  • Inclusion criteria encompassed original English articles focusing on AI's role in kidney cancer surgical training. (bvsalud.org)
  • The integration of AI into kidney cancer surgical training offers solutions to training difficulties and a boost to surgical education. (bvsalud.org)
  • Radical cystectomy and urinary diversion remains the standard surgical treatment for patients with muscle-invasive or high-risk or recurrent non-muscle-invasive bladder cancer. (biomedcentral.com)
Excretion4
  • The mean urinary citrate excretion is 640 mg/d in healthy individuals. (medscape.com)
  • While hypocitraturia currently is defined as the excretion of less than 320 mg of citrate per day, most healthy people actually will have daily urinary citrate excretions of over 600 mg. (medscape.com)
  • Researchers believe that the current definition ignores urinary citrate concentration, which may be far more important than the gross total 24-hour urinary citrate excretion. (medscape.com)
  • [ 3 ] In addition, urinary citrate excretion can increase urinary pH, which is a factor in uric acid crystallization and uric acid stone formation, as well as in the calcium-citrate-phosphate complex formation described above. (medscape.com)
Bowel to create1
Uric acid2
  • The most common factors that promote uric acid stone formations are persistently low urinary pH, dehydration leading to low urinary volume, and high uric acid production. (medscape.com)
  • At persistently low pH uric acid crystals can form and stabilise even with normal urinary urate concentration. (medscape.com)
Antarctica3
  • Hantaviruses (family Bunyaviridae , genus Hantavirus ) are rodent- and insectivore-borne viruses that are distributed in all continents except Antarctica ( 4 ). (cdc.gov)
  • With the exception of Antarctica, rabies is present on all continents. (eiken-balken.com)
  • Modern non-bird reptiles inhabit all the continents except Antarctica. (hyperlinked.wiki)
Urostomy1
Postoperative1
Procedure3
  • This procedure has generally been replaced in popularity by the ileoanal reservoir (above). (geosg.org)
  • A modified version of this procedure called the Barnett Continent Intestinal Reservoir (BCIR) is performed at a limited number of facilities. (geosg.org)
  • There are two main continent procedure alternatives to the ileal or cecal conduit (others exist). (geosg.org)
Stones2
Symptoms1
  • When your kidneys or bones are affected, or you have bothersome symptoms, surgery may be the best option. (digitalnaturopath.com)
Cancer3
  • This urinary diversion is often done as part of a radical cystectomy for bladder cancer, but might also be used to manage a dysfunctional bladder. (usadelaware.com)
  • Furthermore, artificial intelligence (AI) can potentially aid the training process in the field of kidney cancer. (bvsalud.org)
  • This review explores how artificial intelligence (AI) can create a framework for kidney cancer surgery to address training difficulties. (bvsalud.org)
Rodent1
  • The subsequent discovery of a new disease, hantavirus pulmonary syndrome (HPS) ( 1 ), its etiologic agent, Sin Nombre virus (SNV) ( 2 ), and its rodent reservoir, the deer mouse ( Peromyscus maniculatus ) ( 3 ), were among the most prominent findings in a flood of new revelations about hantaviruses in the Americas. (cdc.gov)
Abdomen1
  • These tubes are connected to a pump implanted into the scrotum and further connected to a water reservoir placed in the lower abdomen. (dcurology.net)
Surgery1
Radical1
  • Continent urinary reservoirs are used when you cannot empty your bladder, such as if you have had a radical prostatectomy. (enctoday.com)
Urinate1
  • There are two types of continent reservoirs, and both let you control when you want to urinate. (somerseturological.com)
Include1
  • These include heart attacks, stroke, or heart attack, and heart failure and kidney failure. (kedirikota.go.id)
Stone7
  • These definitions have been called into question by several kidney stone experts and researchers. (medscape.com)
  • Further, they argue that optimal urinary citrate levels for calcium stone formers are likely to be closer to the statistical average or median of the reference group than to the lower limits of the healthy range. (medscape.com)
  • Using this logic, optimal daily urinary citrate levels for calcium stone formers would probably range from 500-800 mg, and one group uses 450 mg/d in men and 550 mg/d in women as cutoff values in stone formers. (medscape.com)
  • Citrate plays several important roles in the mechanism of urinary stone formation. (medscape.com)
  • Urinary stone disease finds its mention in Ancient Greek texts and recognition by Hippocrates. (pediatricurologybook.com)
  • The cost of management of urinary stone disease is thought to be over 2 billion dollars in 2010 to over $10 billion annually. (pediatricurologybook.com)
  • Urinary stone disease may be related to many factors including diet, environment, geographical location, metabolic and genetic factors. (pediatricurologybook.com)
Liver1
  • Liver damage constitutes an important part of the pathology of exogenic poisons since the liver is the prime organ in metabolizing toxic agents and acts with the kidneys in detoxication processes. (cloudaccess.net)
Treatment1
  • If you have mild hyperparathyroidism, you may not need any treatment, although your blood-calcium levels, kidney function and bone health will need to be regularly checked. (digitalnaturopath.com)
Formation1
  • This process is pH-dependent, and increases in urinary pH levels appear to be more important in the formation of this complex than are increases in available citrate per se. (medscape.com)
Patients1
Method1