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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.
In addition to bladder cancer, urinary diversion may be necessary in cases of severe trauma, congenital abnormalities, or other conditions that compromise the normal urinary tract, such as infections or chronic inflammation. The procedure can be either temporary or permanent, depending on the patient’s condition and treatment plan.
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 ...
Patients whose cuffitis is refractory to mesalamine and/or corticosteroids should be evaluated for other disease in the cuff area, such as fistula or anastomotic leaks. [2] Cuffitis that is refractory to medication can also be a sign of Crohn's disease of the pouch. [2] Chronic cuffitis can also contribute to the development of anastomotic ...
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 ...
Deyhimy says that he’s seen patients who try to stop taking kratom experience symptoms similar to opioid withdrawal, such as elevated blood pressure, heart rate, sleep disturbances, muscle aches ...
This plant may look like wildflowers, but it can cause painful rash and blistering. A video of an Iowa resident with the rash explains why.
In medicine, the ileal pouch–anal anastomosis (IPAA), also known as restorative proctocolectomy (RPC), ileal-anal reservoir (IAR), an ileo-anal pouch, ileal-anal pullthrough, or sometimes referred to as a J-pouch, S-pouch, W-pouch, or a pelvic pouch, is an anastomosis of a reservoir pouch made from ileum (small intestine) to the anus, bypassing the former site of the colon in cases where the ...