Type of Surgery
Information
Last updated: 02/17/2009
The most basic ureterosigmoidoscopy modification is the Mainz II pouch. There is a 6 cm cut along antimesenteric border of the colon, both on the proximal and distal sides of the rectum/sigmoid colon junction. The ureters are drawn down into the colon....
A special flap technique is applied by folding the colon to stop urine from refluxing back to the kidneys. After the colon is closed, the result is a small rectosigmoid reservoir that holds urine without refluxing it back to the upper urinary tract. Some variations of the Mainz II pouch include the construction of a valve, as in the Kock pouch, that confines urine to the distal segment of the colon.
Ureterosigmoidoscopy is typically performed in patients with complex medical problems, often those who have had numerous surgeries. Ureterosigmoidoscopy as a continent diversion technique relies heavily upon an intact and functional rectal sphincter. The treatment of pediatric urinary incontinence due to bladder eversion or other anatomical anomalies is a technical challenge, and is not always the first choice of surgeons. In Europe, early urinary diversion with ureterosigmoidoscopy is used widely for most exstrophy patients. Its main advantage is the possibility for spontaneous emptying by evacuation of urine and stool.
Advertisement
Search
Other Information
Ureterosigmoidoscopy is a surgical procedure that treats urinary incontinence by joining the ureters to the lower colon, thereby allowing urine to evacuate through the rectum.
The surgical techniques for urinary and fecal diversion fall into two categories: continent diversion and conduit diversion. In continent diversion, an internal reservoir for urine or feces is created, allowing natural evacuation from the body. In urinary and fecal conduit diversion, a section of existing tissue is altered to serve as a passageway to an external reservoir or ostomy. Both continent and conduit diversions reproduce bladder or colon function that was impaired due to surgery, obstruction, or a neurogenically created condition. Both the continent and conduit diversion methods have been used for years, with advancements in minimally invasive surgical techniques and biochemical improvements in conduit materials and ostomy appliances.
From http://www.healthline.com/galecontent/ureterosigmoidoscopy
Other Information
In 2000, the estimated number of doctor visits and outpatient hospital visits by patients aged 20 or older with UTI or cystitis listed as a diagnosis was of 8.27 million visits (1.41 million men; 6.86 million women) with UTI as the primary diagnosis.
From: NKUDIC
Find a Qualified Specialist
Looking for a specialist?
Please enter your zip code.