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Stenosis: Stenosis of the channel occurs when it becomes narrower, making it difficult to pass a catheter. [11] Additional surgery may be required to ensure the safe insertion of a catheter. [11] If the bladder cannot be emptied via the urethra and the catheter cannot enter the channel, it is a medical emergency. [5]
Upon satisfactory finding(s), a suprapubic catheter (with drainage system) will be inserted into the urinary bladder (to create urinary diversion during the procedure), and the chosen procedure will then be initiated. [3] Note: The surgical procedures listed below may have small variances in the methodology used from surgeon to surgeon.
Risks of bladder augmentation include incomplete voiding of the bladder post-surgery (resulting in the patient having to undergo intermittent catheterisation or receive an indwelling catheter), acute intestinal obstruction due to adhesions some years after surgery, and, in extremely rare cases, cancers of the intestinal tissue within the bladder.
Long term: Frequent urination, loss of bladder control, urinary tract infection [1] Types: Acute, chronic [1] Causes: Blockage of the urethra, nerve problems, certain medications, weak bladder muscles [1] Diagnostic method: Amount of urine in the bladder post urination [1] Treatment: Catheter, urethral dilation, urethral stents, surgery [1 ...
Some patients, after having had an ileal conduit, requiring an external appliance, have opted to have the Indiana pouch, as elective surgery. Such a surgery is usually recommended, if possible, since it has been documented that the Indiana pouch may reduce the possibility of kidney damage because the ureters are repositioned lower in the abdomen.
In 2000, a new procedure for creating artificial bladders for humans was developed. This procedure is called an orthotopic neobladder procedure. This procedure involves shaping a part (usually 35 to 40 inches) of a patient's small intestine to form a new bladder; however, these bladders made of intestinal tissues produced unpleasant side-effects.