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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.
A variety of mechanisms can be the cause of pouchitis including inflammatory factors such as a dysbiosis sparked inflammation or Crohn's disease of the pouch, surgical causes including surgical join leaks and pelvic sepsis, or infectious from Clostridioides difficile (C Diff) or Cytomegalovirus (CMV). It is possible to have more than one factor ...
These include creating a neobladder, which is constructed from intestinal tissue and allows the patient to void urine through the urethra. When the urethra is not functional, a continent cutaneous reservoir, such as an Indiana pouch, can be formed, enabling the patient to drain urine via a catheter through a small abdominal opening.
The ileum and ascending colon can also be used to create a pouch accessible for catheterization (Indiana pouch). Urethral stents or urethral sphincterotomy are other surgical approaches that can reduce bladder pressures but require use of an external urinary collection device. [11] Urethral slings may be used in both adults and children [12 ...
Guttural pouch mycosis (GPM) is a fungal disease that is rare but potentially life-threatening. GPM is of unknown pathogenesis currently and no predisposing factors have been identified. Fungal plaque is usually located in the medial guttural pouch, near the internal carotid artery. [ 13 ]
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The complication rate associated with ureterostomy procedures is less than 5–10%. Risks during surgery include heart problems, pulmonary (lung) complications, development of blood clots , blocking of arteries , and injury to adjacent structures, such as bowel or vascular entities. Inadequate ureteral length may also be encountered, leading to ...
An airplane flying into a regional airport in Indiana crashed, injuring two people on the ground, officials said. The single-engine Piper PA-28 plane crashed roughly half a mile west of the ...