Chapter 086 : Cutaneous Continent Urinary Diversion

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Question 1 of 1

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430186

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A 45-year-old man had an ileal conduit diversion as a child for bladder exstrophy. He requests a continent diversion. Serum creatinine is 2â•¯mg/dL. Loopogram shows bilaterally thin ureters with small kidneys. Which is the best procedure?

Select the correct answer(s).

(0/0)

430187

120

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A 45-year-old man underwent ileal conduit urinary diversion as a child for bladder exstrophy. He presents requesting continent diversion. Serum creatinine is 2â•¯mg/dL. Loopogram shows bilateral hydronephrosis and a pipe-stem conduit. What is the best course of action?

Select the correct answer(s).

(0/0)

430188

120

none

A patient undergoing a cystectomy and planned continent cutaneous diversion has positive ureteral margin biopsies up to 2â•¯cm above each iliac artery, at which point negative biopsies are obtained. What is the best course of action?

Select the correct answer(s).

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430189

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Preservation of the ileocecal valve can be maintained with which catheterizable pouch?

Select the correct answer(s).

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430190

120

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In which procedure to repair a nipple valve would resection of additional bowel be routinely required?

Select the correct answer(s).

(0/0)

430191

120

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A 10-year-old child has an ileal conduit for myelomeningocele. The conduit was replaced on two occasions for pipe-stem conduit development. The conduit is again affected by the same process. The patient’s family wants a continent diversion. Which is the best procedure?

Select the correct answer(s).

(0/0)

430192

120

none

A patient with chronic active hepatitis and invasive bladder cancer associated with intravesical carcinoma in situ is scheduled for a cystoprostatectomy. The serum creatinine concentration is 1â•¯mg/dL. Prostatic urethral biopsy shows mild atypia. What is the best diversion?

Select the correct answer(s).

(0/0)

430193

120

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The highest reoperation rate in catheterizable pouches occurs with what type of sphincter?

Select the correct answer(s).

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430194

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Which of the Mitrofanoff sphincter deficiencies can be corrected surgically?

Select the correct answer(s).

(0/0)

430195

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Hematuria and skin breakdown may occur with what type of pouch?

Select the correct answer(s).

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430196

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Preoperative colonoscopy is indicated in candidates for which reservoir procedures?

Select the correct answer(s).

(0/0)

430197

120

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What condition is more common in absorbable stapled ileal pouches?

Select the correct answer(s).

(0/0)

430198

120

none

Anastomotic transitional cell carcinoma develops in a patient who has undergone cystectomy and continent cutaneous urinary diversion. What is the best treatment?

Select the correct answer(s).

(0/0)

430199

120

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Drainage of mucus is most difficult with which sphincteric mechanism?

Select the correct answer(s).

(0/0)

430200

120

none

Chapter 086 : Cutaneous Continent Urinary Diversion

Question 1 of 1

Time Left

A 45-year-old man had an ileal conduit diversion as a child for bladder exstrophy. He requests a continent diversion. Serum creatinine is 2â•¯mg/dL. Loopogram shows bilaterally thin ureters with small kidneys. Which is the best procedure?

Select the correct answer(s).

(0/0)

A 45-year-old man underwent ileal conduit urinary diversion as a child for bladder exstrophy. He presents requesting continent diversion. Serum creatinine is 2â•¯mg/dL. Loopogram shows bilateral hydronephrosis and a pipe-stem conduit. What is the best course of action?

Select the correct answer(s).

(0/0)

A patient undergoing a cystectomy and planned continent cutaneous diversion has positive ureteral margin biopsies up to 2â•¯cm above each iliac artery, at which point negative biopsies are obtained. What is the best course of action?

Select the correct answer(s).

(0/0)

Preservation of the ileocecal valve can be maintained with which catheterizable pouch?

Select the correct answer(s).

(0/0)

In which procedure to repair a nipple valve would resection of additional bowel be routinely required?

Select the correct answer(s).

(0/0)

A 10-year-old child has an ileal conduit for myelomeningocele. The conduit was replaced on two occasions for pipe-stem conduit development. The conduit is again affected by the same process. The patient’s family wants a continent diversion. Which is the best procedure?

Select the correct answer(s).

(0/0)

A patient with chronic active hepatitis and invasive bladder cancer associated with intravesical carcinoma in situ is scheduled for a cystoprostatectomy. The serum creatinine concentration is 1â•¯mg/dL. Prostatic urethral biopsy shows mild atypia. What is the best diversion?

Select the correct answer(s).

(0/0)

The highest reoperation rate in catheterizable pouches occurs with what type of sphincter?

Select the correct answer(s).

(0/0)

Which of the Mitrofanoff sphincter deficiencies can be corrected surgically?

Select the correct answer(s).

(0/0)

Hematuria and skin breakdown may occur with what type of pouch?

Select the correct answer(s).

(0/0)

Preoperative colonoscopy is indicated in candidates for which reservoir procedures?

Select the correct answer(s).

(0/0)

What condition is more common in absorbable stapled ileal pouches?

Select the correct answer(s).

(0/0)

Anastomotic transitional cell carcinoma develops in a patient who has undergone cystectomy and continent cutaneous urinary diversion. What is the best treatment?

Select the correct answer(s).

(0/0)

Drainage of mucus is most difficult with which sphincteric mechanism?

Select the correct answer(s).

(0/0)

Which continent cutaneous diversion allows for a refluxing ureteroenteric anastomosis?

Select the correct answer(s).

(0/0)

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