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Autologous arteriovenous access is the key to long-term success with hemodialysis and is strongly supported by the National Kidney Foundation's Dialysis Outcomes Quality Initiative guidelines. Basilic vein transposition (BVT) fulfills the need for a durable conduit with high patency and maturation rates. This retrospective review examines a single group's experience with this procedure. All patients undergoing BVT for hemodialysis with available follow-up data were reviewed. Telephone interviews were used to supplement clinical data where needed. Functional assisted patency was used as the end point for this procedure, and if the access was never used for dialysis, then the patency was considered zero. Secondary interventions performed while the access remained patent and in use were not considered detrimental to the patency reported. One hundred seventy BVTs in 162 patients were performed between November 1992 and October 2001. There were 87 women (53.7%) and 112 black patients (69.1%); hypertension was present in 138 patients (85.2%) and diabetes in 89 patients (54.9%). Each year, an increasing incidence of BVT was performed in our dialysis population. The BVT was performed as the first access in that extremity in 73 of the procedures (42.9%). Functional patency (primary assisted) was achieved in 40.0% at 2 years and 15.2% at 5 years. The mean assisted patency was 14.6 months. To maintain BVT patency, 40 percutaneous secondary interventions (69.0%) and 18 surgical revisions (31.0%) occurred in 32 patients (19.0%). Ligation for swelling was necessary in 4 patients (2.5%), and steal syndrome occurred in 3 patients (1.9%). BVT is a useful autologous procedure for hemodialysis and the preferred access alternative in patients without an adequate cephalic vein. Although patencies remain poor relative to other conventional arterial vascular procedures, BVT is our most durable hemodialysis access procedure and is often the only available autologous conduit for hemodialysis.

Penile Injection Therapy

How To Use Male Condom Correctly - Manipal Hospitals

This educational video explains the medical (medication-based) management of ectopic pregnancy, including how the treatment works and how patients are monitored during it. General clinical information. Educational only — not medical advice.

This educational video discusses sexual activity during menstruation, covering hygiene, comfort, and infection-risk considerations in clinical terms. General adult health information. Educational only — not medical advice.

Beyond condoms: this educational video explains other ways to prevent pregnancy, including hormonal contraception, intrauterine devices, and fertility-awareness methods, and how each one works. Educational only — not medical advice; discuss contraception choices with your clinician.

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51 yr old female with right flank pain and recurrent UTI. IVP showed a UPJ calculus on the right.

Medical imaging captured during sexual activity is presented in this educational video, showing how internal anatomy changes, as recorded in published MRI research. It is shared for anatomy and physiology education. Educational only — not medical advice.

Breast Augmentation Short Scar Technique Slicone Implants

This educational explainer covers the physiology of the female sexual response, including the stages of arousal and orgasm, in clinical terms. It is intended for adult health education. Educational only — not medical advice.

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Watch that video of Broken Male Genital Repairing Surgery

Watch that Hemorrhoids Repairing Medical Video

General Physical Examination

Female Catheter Insertion

Anatomy of The Superficial Dissection of The Upper and Lower Limbs

Women are routinely invited to have cervical screening tests (also called smear tests). The tests are done to prevent cervical cancer, not to diagnose cancer. During each test some cells are removed from the neck of the womb (cervix), with a plastic brush. The cells are examined under a microscope to look for early changes that, if ignored and not treated, could develop into cancer of the cervix. You are very unlikely to develop cervical cancer if you have regular cervical screening tests at the times advised by your doctor. If the test shows any abnormality, you will have treatment to stop you ever getting cancer of the cervix. So, an abnormal test does not mean you have cancer. It means you should have some treatment to stop you getting cancer.

Pediatric Urine Samples Collection

Foley's Catheter in FEMALES : How to?