Monti procedure

Monti Procedure is a surgical procedure used in the field of Urology and Pediatric Surgery. It is named after Dr. Paulo R. Monti, who first described the technique in 1997. The procedure is used to create a continent urinary diversion, which is a way to create a new way for the body to store and eliminate urine when the bladder is not functioning properly.

Indications

The Monti Procedure is indicated in patients who require a continent urinary diversion. This includes patients with neurogenic bladder, bladder exstrophy, and other conditions that affect the bladder's ability to store and eliminate urine properly.

Procedure

The Monti Procedure involves the use of a segment of the intestine to create a new conduit for urine. The segment of intestine is detubularized, or opened up, and then reconfigured into a tube. This new tube is then connected to the ureters, which carry urine from the kidneys to the bladder, and to the skin, creating a new pathway for urine to exit the body.

Complications

As with any surgical procedure, the Monti Procedure carries risks. These can include infection, bleeding, and complications related to anesthesia. There is also a risk of urinary tract infection due to the new pathway for urine.

Follow-up

Patients who undergo the Monti Procedure require regular follow-up with their healthcare provider to monitor for complications and to ensure the new urinary diversion is functioning properly.

See Also

• Urology
• Pediatric Surgery
• Neurogenic bladder
• Bladder exstrophy

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