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Submitted by Dr. Raymond Rackley, Professor of Urology, Cleveland Clinic. This video describes a novel technique for creating a catheterizable stoma - The Continent Vesico-Cutaneous Channel (CVC). It is applicable in patients with urinary retention who have difficulties with urethral catheterization, particularly those with neurogenic bladders. The cutaneous channel is marked and incised. The rectus muscle bundles are isolated. A cystotomy is created. The channel is closed, brought between the rectus bundles, and approximated to the cystotomy. Source: An Original HealthTheater.tv Production

The Continent Vesico-Cutaneous Channel (CVC) Rackley, Rymond
InstitutionGlickman Urological and Kidney Institute Cleveland Clinic, Cleveland, Ohio

santucci wrote über 2 Jahren ago

This was devised by Ray Rackley for children, although he has done it in adults. I have had about 50% success rate when using in adults. There is an inexplicable stenosis (the blood supply to the skin seemed good) in the failures. The real genius of this technique is the continence mechanism, where the channel is "braided" through the rectus.

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27 Videos

Adrenal	Endourology	Kidney Cancer	Pediatric Urology	Single Port	Urethra
Anatomy	Erectile Dysfunction	Laparoscopy	Penis	Stones	Urinary Diversion
Andrology	Female Urology	Laser	Prostate	Testis	Vagina
Anesthesia	Implants	Male Urology	Prostate Cancer	Transplantation
Bladder	Incontinence	Neurourology	Reconstructive Urology	Transsexualism
Bladder Cancer	Intersex	NOTES	Robotics	Trauma
BPH	Kidney	Oncology	Sex reassignment therapy (SRT)	Ureter

santucci wrote über 2 Jahren ago