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Duodenocystostomy: A Surgical Procedure for Urinary Diversion

Duodenocystostomy is a surgical procedure that involves the creation of a new opening (cystostome) in the duodenum (the first part of the small intestine) to allow urine to pass out of the body. This procedure is typically performed in cases where the bladder or ureters are non-functional or have been removed, and the patient requires a urinary diversion.

The goal of duodenocystostomy is to create a new pathway for urine to leave the body, bypassing the bladder and ureters. This can be necessary in cases where the bladder or ureters are damaged or non-functional due to injury or disease. The procedure can be performed as a temporary measure until a more permanent solution can be implemented, or it can be a long-term solution for patients who are unable to undergo more complex procedures such as a urinary diversion.

During the procedure, the surgeon will make an incision in the abdomen and expose the duodenum. The cystostome is then created by opening up the duodenum and securing it with sutures or staples. A catheter may also be placed to help drain urine from the new opening. The surgery can take several hours to complete and may require a hospital stay of several days.

After the procedure, patients may need to make changes to their diet and fluid intake to ensure proper nutrition and hydration. They may also need to take medications to help manage any complications or side effects. Patients should follow their doctor's instructions carefully to ensure a successful outcome.

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