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Mitrofanoff
The Mitrofanoff procedure, also known as the Mitrofanoff appendicovesicostomy, is a surgical procedure in which the appendix (anatomy), appendix is used to create a conduit, or channel, between the skin surface and the urinary bladder. The small opening on the skin surface, or the Stoma (medicine), stoma, is typically located either in the navel or nearby the navel on the right lower side of the abdomen. Originally developed by Professor Paul Mitrofanoff in 1980, the procedure represents an alternative to urethral catheterization and is sometimes used by people with urethral damage or by those with severe autonomic dysreflexia. An intermittent catheter, or a catheter that is inserted and then removed after use, is typically passed through the channel every 3–4 hours and the urine is drained into a toilet or a bottle. As the bladder fills, rising pressure compresses the channel against the bladder wall, creating a one-way valve that prevents leakage of urine between catheterization ...
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Mitrofanoff Principle
In urology, the Mitrofanoff principle is the creation of a passageway for urine or enema fluid that, by its (surgical) construction, has a valve mechanism to allow urinary incontinence, continence. Procedures which make use of the Mitrofanoff principle: *Mitrofanoff procedure *Malone antegrade continence enema *Monti procedure Eponym It is named after the French (people), French urologist (Mitrofanoff) who popularized it. References External linksMitrofanoff principle- biology-online.com.Mitrofanoff principle
- cancerweb.ncl.ac.uk. Urology {{treatment-stub ...
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Neurogenic Bladder Dysfunction
Neurogenic bladder dysfunction, often called by the shortened term neurogenic bladder, was technically termed neurogenic lower urinary tract dysfunction by the International Continence Society. It refers to urinary bladder problems due to disease or injury of the central nervous system or peripheral nerves involved in the control of urination. There are multiple types of neurogenic bladder depending on the underlying cause and the symptoms. Symptoms include overactive bladder, urinary urgency, frequency, incontinence or difficulty passing urine. A range of diseases or conditions can cause neurogenic bladder including spinal cord injury, multiple sclerosis, stroke, brain injury, spina bifida, peripheral nerve damage, Parkinson's disease, multiple system atrophy or other neurodegenerative diseases. Neurogenic bladder can be diagnosed through a history and physical as well as imaging and more specialized testing. In addition to symptomatic treatment, treatment depends on the nature ...
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Malone Antegrade Continence Enema
A Malone antegrade continence enema (MACE), also known as an appendicostomy or Malone procedure, is a surgical procedure used to create a continent pathway proximal to the anus that facilitates fecal evacuation using enemas. Description The operation involves connecting the appendix to the abdominal wall and fashioning a valve mechanism that allows catheterization of the appendix, but avoids leakage of stool through it. By using the patient’s own appendix for the procedure, doctors can avoid using artificial devices which can be seen and can cause the patient irritation. If the appendix was previously removed or is unusable, a neoappendix can be created with a cecal flap. Indications It is done to treat fecal incontinence unresponsive to treatment with medications. It is frequently done with a procedure ( Mitrofanoff procedure) to treat urinary incontinence as the two often co-exist, such as in spina bifida. Cecostomy tube alternative A percutaneous cecostomy tube (C-tube) ...
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Monti Procedure
The Monti procedure is a surgical procedure in which a part of the gastrointestinal tract is used to create a continent conduit between the skin surface and the urinary bladder or a neobladder. Eponym The procedure is named after its creator, a Brazilian urologist, Paulo Ricardo Monti. See also * Mitrofanoff principle (Mitrofanoff appendicovesicostomy) * Malone antegrade continence enema A Malone antegrade continence enema (MACE), also known as an appendicostomy or Malone procedure, is a surgical procedure used to create a continent pathway proximal to the anus that facilitates fecal evacuation using enemas. Description The oper ... References {{reflist Urologic surgery ...
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Appendix (anatomy)
The appendix (: appendices or appendixes; also vermiform appendix; cecal (or caecal, cæcal) appendix; vermix; or vermiform process) is a finger-like, blind-ended tube connected to the cecum, from which it develops in the embryo. The cecum is a pouch-like structure of the large intestine, located at the junction of the small and the large intestines. The term " vermiform" comes from Latin and means "worm-shaped". The appendix was once considered a vestigial organ, but this view has changed since the early 2000s. Research suggests that the appendix may serve as a reservoir for beneficial gut bacteria. Structure The human appendix averages in length, ranging from . The diameter of the appendix is , and more than is considered a thickened or inflamed appendix. The longest appendix ever removed was long. The appendix is usually located in the lower right quadrant of the abdomen, near the right hip bone. The base of the appendix is located beneath the ileocecal valve tha ...
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Clean Intermittent Catheterization
Intermittent catheterization is a medical technique used in conditions where patients need either short-term catheter-based management of the urinary bladder or as a daily habit for life. Intermittent catheterization is considered the "gold standard" for medical bladder emptying. Intermittent catheterization can be done by the patient or a caregiver in a home environment. Advantages People with neurogenic bladder disorders like spinal cord injury, spina bifida or multiple sclerosis, and non-neurogenic bladder disorders like obstruction due to prostate enlargement, urethral strictures or post-operative urinary retention, need to be continuously catheterised to empty their urinary bladders. But such continuous catheterization can lead to problems like urinary tract infections (UTI), urethral strictures or male infertility. Intermittent catheterization at regular intervals avoids such negative effects of continuous long term catheterization, but maintaining a low bladder pressure thro ...
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Bladder Stone
A bladder stone is a stone found in the urinary bladder. Signs and symptoms Bladder stones are small mineral deposits that can form in the bladder. In most cases bladder stones develop when the urine becomes very concentrated or when one is dehydrated. This allows for minerals, such as calcium or magnesium salts, to crystallize and form stones. Bladder stones vary in number, size and consistency. In some cases bladder stones do not cause any symptoms and are discovered as an incidental finding on a plain radiograph. However, when symptoms do occur, these may include severe lower abdominal and back pain, difficult urination, frequent urination at night, fever, painful urination and blood in the urine. The majority of individuals who are symptomatic will complain of pain which comes in waves. The pain may also be associated with nausea, vomiting and chills.
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Cesarean Section
Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or child at risk (of paralysis or even death). Reasons for the operation include, but are not limited to, obstructed labor, twin pregnancy, high blood pressure in the mother, breech birth, shoulder presentation, and problems with the placenta or umbilical cord. A caesarean delivery may be performed based upon the shape of the mother's pelvis or history of a previous C-section. A trial of vaginal birth after C-section may be possible. The World Health Organization recommends that caesarean section be performed only when medically necessary. A C-section typically takes 45 minutes to an hour. It may be done with a spinal block, where the woman is awake, or under general anesthesia. A urinary catheter is used to drain the ...
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Sexual Activity
Human sexual activity, human sexual practice or human sexual behaviour is the manner in which humans experience and express their sexuality. People engage in a variety of sexual acts, ranging from activities done alone (e.g., masturbation) to acts with another person (e.g., sexual intercourse, non-penetrative sex, oral sex, etc.) or persons (e.g., orgy) in varying patterns of frequency, for a wide variety of reasons. Sexual activity usually results in sexual arousal and physiological changes in the aroused person, some of which are pronounced while others are more subtle. Sexual activity may also include conduct and activities which are intended to arouse the sexual interest of another or enhance the sex life of another, such as strategies to find or attract partners ( courtship and display behaviour), or personal interactions between individuals (for instance, foreplay or BDSM). Sexual activity may follow sexual arousal. Human sexual activity has sociological, cognitive, ...
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Urinary Tract Infection
A urinary tract infection (UTI) is an infection that affects a part of the urinary tract. Lower urinary tract infections may involve the bladder (cystitis) or urethra (urethritis) while upper urinary tract infections affect the kidney (pyelonephritis). Symptoms from a lower urinary tract infection include suprapubic pain, painful urination (dysuria), frequency and urgency of urination despite having an empty bladder. Symptoms of a kidney infection, on the other hand, are more systemic and include fever or Abdominal pain, flank pain usually in addition to the symptoms of a lower UTI. Rarely, the urine may appear Hematuria, bloody. Symptoms may be vague or non-specific at the extremities of age (i.e. in patients who are very young or old). The most common cause of infection is ''Escherichia coli'', though other bacteria or fungi may sometimes be the cause. Risk factors include female anatomy, sexual intercourse, diabetes mellitus, diabetes, obesity, catheterisation, and famil ...
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Suprapubic
The hypogastrium (also called the hypogastric region or suprapubic region) is a region of the abdomen located below the umbilical region. Etymology The roots of the word ''hypogastrium'' mean "below the stomach The stomach is a muscular, hollow organ in the upper gastrointestinal tract of Human, humans and many other animals, including several invertebrates. The Ancient Greek name for the stomach is ''gaster'' which is used as ''gastric'' in medical t ..."; the roots of ''suprapubic'' mean "above the pubic bone". Boundaries The upper limit is the umbilicus while the pubis bone constitutes its lower limit. The lateral boundaries are formed are drawing straight lines through the midway between the anterior superior iliac spine and symphisis pubis. References External links * Abdomen {{Anatomy-stub ...
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Bowel Preparation
Colonoscopy () or coloscopy () is a medical procedure involving the Endoscopy, endoscopic examination of the large bowel (colon) and the distal portion of the small bowel. This examination is performed using either a Charge-coupled device, CCD camera or a fiber optic camera, which is mounted on a flexible tube and passed through the anus. The purpose of a colonoscopy is to provide a visual diagnosis via inspection of the internal lining of the colon wall, which may include identifying issues such as ulceration or Precancerous condition, precancerous polyps, and to enable the opportunity for biopsy or the removal of suspected colorectal cancer lesions. Colonoscopy is similar to sigmoidoscopy, but surveys the entire colon rather than only the sigmoid colon. A colonoscopy permits a comprehensive examination of the entire colon, which is typically around 1,200 to 1,500 millimeters in length. In contrast, a sigmoidoscopy allows for the examination of only the distal portion of the ...
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