Hellow guys, Welcome to my website, and you are watching Video-Laparoscopic Treatment of Genitourinary (Bladder and Ureter) Endometriosis. and this vIdeo is uploaded by Camran Nezhat Institute, Palo Alto. CA at 2017-02-08T15:29:42-08:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Video-Laparoscopic Treatment of Genitourinary (Bladder and Ureter) Endometriosis |
| Video Uploader | Video From Camran Nezhat Institute, Palo Alto. CA |
| Upload Date | This Video Uploaded At 08-02-2017 23:29:42 |
| Video Discription | Endometriosis most often affects the pelvic organs, but the most common sites of extragenital endometriosis are the intestine and urinary tract. While bladder endometriosis mimics cystitis in presentation, ureteral endometriosis is usually silent. Rarely, ureteralendometriosis can result in silent kidney loss if stricture reaches a critical level. Although advanced laparoscopic management of extensive extragenital endometriosis has been reported by this author's group since the 1980s, it is still not a widespread practice or skill. Medical management of deeply infiltrating lesions of the urinary tract poses a high risk of failure. Laparotomy for treatment ofendometriosis is inferior due to decreased visualization and increased morbidity. We consider laparoscopic excision the gold standard for treatment of ureteral endometriosis. In a case involving endometriosis, a gynecologic surgeon should be prepared to proceed at the very least with laparoscopic ureterolysis. In this video, we first explain the pathophysiology, presentation, workup, and treatment of genitourinary endometriosis. We then classify multiple forms of urinary tract endometriosis and describe successful laparoscopic excisional management strategies. We demonstrate ureterolysis with and without the robotic arm, by performing peritoneal stripping of extrinsic (superficial) disease of the ureter. Next we show how to release a "choked ureter" constricted by endometriosis, and ureteroureterostomy for intrinsic (deeply invasive)endometriosis. Finally, we demonstrate segmental bladder resection for deeply infiltrating endometriosis of the bladder, with and without robotic assistance. This video compilation demonstrates various presentations of urinary tract endometriosis and successful laparoscopic management strategies with and without robotic assistance. |
| Category | Science & Technology |
| Tags | camran nezhat | camran nezhat institute | laparoscopy | bladder | bladder endometriosis | ureter endometriosis | endo | endometriosis | fulgaration of endometriosis | excision of endometriosis | minimally invasive surgery | extragenital endometriosis | bladder pain | silent kidney loss | pain with urination | chronic pain | pelvic pain | chronic pelvic pain | hematuria | hydroureter | surgery | robotic surgery | chocolate cyst |
