Endoscopic use of Nd:YAG laser to remove Marlex strut from Kock continent urinary reservoir.
A Marlex strut, which was designed to prevent efferent valve prolapse and peristomal herniation in the Kock continent urinary reservoir, eroded through the pouch wall, resulting in persistent bacteriuria and the inability to catheterize the pouch. The eroding strut was removed endoscopically with the Nd:YAG laser. Continence has been preserved and ease of catheterization restored.
Karsh
L I
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Department of Surgery, Provenant Health Partners, St. Anthony Hospital Central, Denver, CO 80204.
D000328:Adult; D001437:Bacteriuria / Q000209:etiology; D004724:Endoscopy; D005260:Female; D006801:Humans; D053685:Laser Therapy; D009354:Neodymium; D013526:Surgical Mesh / Q000009:adverse effects*; D016476:Urinary Reservoirs, Continent; D015021:Yttrium Radioisotopes
D015021:Yttrium Radioisotopes; D009354:Neodymium