If you're going to do a cloacal repair, especially a complex cloacal repair that's got a long common channel, and you know you're going to be mobilizing the bladder neck and trying to separate the vagina from the urinary system, if you need to do that, reimplanting the ureter later is a total, totally difficult operation.
If you're going to do a cloacal repair, especially a complex cloacal repair that's got a long common channel, and you know you're going to be mobilizing the bladder neck and trying to separate the vagina from the urinary system, if you need to do that, reimplanting the ureter later is a total, totally difficult operation.
If you're going to do a cloacal repair, especially a complex cloacal repair that's got a long common channel, and you know you're going to be mobilizing the bladder neck and trying to separate the vagina from the urinary system, if you need to do that, reimplanting the ureter later is a total, totally difficult operation.
If you just tell a family, hey, start cathing, and they don't know why, then they're going to go home and their kid's gonna get angry with it and they're gonna, they're gonna stop doing it.
Urologic and Gynecologic Aspects in Anorectal Malformations: Pediatric...
▶Ep 23 · 3:42
clinicalRenal scan showing no uptake on one side most likely indicates renal agenesis, meaning the patient has half the normal number of nephrons.↗
▶Ep 23 · 7:30
opinionA patient with solitary kidney, high-grade reflux, and bladder neck fistula might warrant a divided colostomy at birth rather than a loop colostomy to ensure complete diversion.↗
▶Ep 23 · 9:33
clinicalTotal urogenital mobilization eliminates any future function of the external urinary sphincter, making continence dependent on bladder neck function.↗
▶Ep 23 · 9:37
quoteWhen you do a total urogenital mobilization, You're basically eliminating any future function of the external urinary sphincter.↗
▶Ep 23 · 9:52
clinicalWomen who have had total urogenital mobilization will have some degree of cough incontinence or Valsalva-induced incontinence.↗
▶Ep 23 · 10:12
clinicalContinence in post-cloaca repair patients depends more on bladder function and bladder compliance than on the bladder neck.↗
▶Ep 23 · 25:04
guidelineAt the time cloaca patients start going through puberty, periodic pelvic ultrasounds are needed to ensure there is no undrained menstrual fluid.↗
▶Ep 23 · 26:14
guidelineIf rudimentary uterine structures are left in place during cloaca repair, parents must be educated that at the onset of puberty, monitoring for undrained fluid collections is necessary.↗
▶Ep 23 · 29:49
guidelineIt is important to know whether an ARM patient has reflux before undertaking a cloaca repair, which may require cystoscopy to get a catheter into the bladder for VCUG.↗
▶Ep 23 · 30:15
clinicalIf a cloaca repair involves mobilizing the bladder neck and separating the vagina from the urinary system, reimplanting the ureter later is a totally difficult operation—the reimplant should be done at the time of cloaca repair.↗
▶Ep 23 · 30:15
quoteIf you're going to do a cloacal repair, especially a complex cloacal repair that's got a long common channel, and you know you're going to be mobilizing the bladder neck and trying to separate the vagina from the urinary system, if you need to do that, reimplanting the ureter later is a total, totally difficult operation.↗
▶Ep 23 · 33:07
clinicalIf a newborn requires vaginostomy and/or vesicostomy, those structures will need to be taken down to accomplish cloaca repair.↗
▶Ep 23 · 33:30
opinionAfter closing vesicostomy and vaginostomy and performing cloaca repair, bladder drainage can be accomplished with a Foley catheter rather than recreating a vesicostomy.↗
▶Ep 23 · 40:55
clinicalThe number one reason families need to know why they are catheterizing—if they don't understand the importance, they will stop when the child gets angry.↗
▶Ep 23 · 40:55
quoteI think the number one reason they need to know why they're catheterizing. They need to know the importance of it.↗
▶Ep 23 · 41:02
quoteIf you just tell a family, hey, start cathing, and they don't know why, then they're going to go home and their kid's gonna get angry with it and they're gonna, they're gonna stop doing it.↗
▶Ep 23 · 41:14
clinicalIf total urogenital mobilization does not get the urethral opening as far out on the perineum as possible, it leaves girls with a female hypospadias or an introitus that is harder for them to find for catheterization.↗
Urologic and Gynecologic Aspects in Anorectal Malformations: Pediatric...
▶Ep 61 · 3:42
clinicalRenal scan showing no uptake on one side most likely indicates renal agenesis, meaning the patient has half the normal number of nephrons.↗
▶Ep 61 · 3:42
clinicalRenal scan showing no uptake on one side most likely indicates renal agenesis, meaning the patient has half the normal number of nephrons.↗
▶Ep 61 · 7:30
opinionA patient with solitary kidney, high-grade reflux, and bladder neck fistula might warrant a divided colostomy at birth rather than a loop colostomy to ensure complete diversion.↗
▶Ep 61 · 7:30
opinionA patient with solitary kidney, high-grade reflux, and bladder neck fistula might warrant a divided colostomy at birth rather than a loop colostomy to ensure complete diversion.↗
▶Ep 61 · 9:33
clinicalTotal urogenital mobilization eliminates any future function of the external urinary sphincter, making continence dependent on bladder neck function.↗
▶Ep 61 · 9:33
clinicalTotal urogenital mobilization eliminates any future function of the external urinary sphincter, making continence dependent on bladder neck function.↗
▶Ep 61 · 9:37
quoteWhen you do a total urogenital mobilization, You're basically eliminating any future function of the external urinary sphincter.↗
▶Ep 61 · 9:37
quoteWhen you do a total urogenital mobilization, You're basically eliminating any future function of the external urinary sphincter.↗
▶Ep 61 · 9:52
clinicalWomen who have had total urogenital mobilization will have some degree of cough incontinence or Valsalva-induced incontinence.↗
▶Ep 61 · 9:52
clinicalWomen who have had total urogenital mobilization will have some degree of cough incontinence or Valsalva-induced incontinence.↗
▶Ep 61 · 10:12
clinicalContinence in post-cloaca repair patients depends more on bladder function and bladder compliance than on the bladder neck.↗
▶Ep 61 · 10:12
clinicalContinence in post-cloaca repair patients depends more on bladder function and bladder compliance than on the bladder neck.↗
▶Ep 61 · 25:04
guidelineAt the time cloaca patients start going through puberty, periodic pelvic ultrasounds are needed to ensure there is no undrained menstrual fluid.↗
▶Ep 61 · 25:04
guidelineAt the time cloaca patients start going through puberty, periodic pelvic ultrasounds are needed to ensure there is no undrained menstrual fluid.↗
▶Ep 61 · 26:14
guidelineIf rudimentary uterine structures are left in place during cloaca repair, parents must be educated that at the onset of puberty, monitoring for undrained fluid collections is necessary.↗
▶Ep 61 · 26:14
guidelineIf rudimentary uterine structures are left in place during cloaca repair, parents must be educated that at the onset of puberty, monitoring for undrained fluid collections is necessary.↗
▶Ep 61 · 29:49
guidelineIt is important to know whether an ARM patient has reflux before undertaking a cloaca repair, which may require cystoscopy to get a catheter into the bladder for VCUG.↗
▶Ep 61 · 29:49
guidelineIt is important to know whether an ARM patient has reflux before undertaking a cloaca repair, which may require cystoscopy to get a catheter into the bladder for VCUG.↗
▶Ep 61 · 30:15
quoteIf you're going to do a cloacal repair, especially a complex cloacal repair that's got a long common channel, and you know you're going to be mobilizing the bladder neck and trying to separate the vagina from the urinary system, if you need to do that, reimplanting the ureter later is a total, totally difficult operation.↗
▶Ep 61 · 30:15
quoteIf you're going to do a cloacal repair, especially a complex cloacal repair that's got a long common channel, and you know you're going to be mobilizing the bladder neck and trying to separate the vagina from the urinary system, if you need to do that, reimplanting the ureter later is a total, totally difficult operation.↗
▶Ep 61 · 30:15
clinicalIf a cloaca repair involves mobilizing the bladder neck and separating the vagina from the urinary system, reimplanting the ureter later is a totally difficult operation—the reimplant should be done at the time of cloaca repair.↗
▶Ep 61 · 30:15
clinicalIf a cloaca repair involves mobilizing the bladder neck and separating the vagina from the urinary system, reimplanting the ureter later is a totally difficult operation—the reimplant should be done at the time of cloaca repair.↗
▶Ep 61 · 33:07
clinicalIf a newborn requires vaginostomy and/or vesicostomy, those structures will need to be taken down to accomplish cloaca repair.↗
▶Ep 61 · 33:07
clinicalIf a newborn requires vaginostomy and/or vesicostomy, those structures will need to be taken down to accomplish cloaca repair.↗
▶Ep 61 · 33:30
opinionAfter closing vesicostomy and vaginostomy and performing cloaca repair, bladder drainage can be accomplished with a Foley catheter rather than recreating a vesicostomy.↗
▶Ep 61 · 33:30
opinionAfter closing vesicostomy and vaginostomy and performing cloaca repair, bladder drainage can be accomplished with a Foley catheter rather than recreating a vesicostomy.↗
▶Ep 61 · 40:55
quoteI think the number one reason they need to know why they're catheterizing. They need to know the importance of it.↗
▶Ep 61 · 40:55
quoteI think the number one reason they need to know why they're catheterizing. They need to know the importance of it.↗
▶Ep 61 · 40:55
clinicalThe number one reason families need to know why they are catheterizing—if they don't understand the importance, they will stop when the child gets angry.↗
▶Ep 61 · 40:55
clinicalThe number one reason families need to know why they are catheterizing—if they don't understand the importance, they will stop when the child gets angry.↗
▶Ep 61 · 41:02
quoteIf you just tell a family, hey, start cathing, and they don't know why, then they're going to go home and their kid's gonna get angry with it and they're gonna, they're gonna stop doing it.↗
▶Ep 61 · 41:02
quoteIf you just tell a family, hey, start cathing, and they don't know why, then they're going to go home and their kid's gonna get angry with it and they're gonna, they're gonna stop doing it.↗
▶Ep 61 · 41:14
clinicalIf total urogenital mobilization does not get the urethral opening as far out on the perineum as possible, it leaves girls with a female hypospadias or an introitus that is harder for them to find for catheterization.↗
▶Ep 61 · 41:14
clinicalIf total urogenital mobilization does not get the urethral opening as far out on the perineum as possible, it leaves girls with a female hypospadias or an introitus that is harder for them to find for catheterization.↗
