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If the bladder is not sufficiently large, some people may need a bladder augmentation at the same time as a Mitrofanoff. [10] Augmentation enlarges the bladder, making it possible to hold more urine and prevent backflow into the kidneys. [10] This is usually done with one's own bowel tissue and typically bowel tissue produces mucus. [10]
The surgery also provides more support for the bladder. This surgery is done by a surgeon specializing in gynecology and is performed in a hospital. Anesthesia varies according to the needs of each woman. Recovery may take four to six weeks. [1] Other surgical treatment may be performed to treat cystocele.
In women, the vagina, cervix, uterus, fallopian tubes, ovaries and, in some cases, the vulva are removed. In men, the prostate is removed. Patients receive significant counselling before the procedure so that they fully understand the benefits and risks. [5] Radiology is used before surgery. [5] The surgery itself is complex. [5]
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.
The procedure carries the risks of urethral and bladder injury, fistulas, [9] infection, pain, and long-term walking difficulty. [10] Symphysiotomy should, therefore, be carried out only when there is no safe alternative. [10] It is advised that this procedure should not be repeated due to the risk of gait problems and continual pain. [10]
A partial cystectomy involves removal of only a portion of the bladder and is performed for some benign and malignant tumors localized to the bladder. [9] Individuals that may be candidates for partial cystectomy include those with single tumors located near the dome, or top, of the bladder, tumors that do not invade the muscle of the bladder, tumors located within bladder diverticulum, or ...
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Advantages over native tissue repair are mainly associated with improved surgical procedures, for example, simpler and less invasive procedures, higher reproducibility of techniques and durability. However, transvaginal mesh remains as a refuted method due to its adverse complications.