A New Technique for Catheterless Cutaneous Ureterostomy

Toyoda, Yasushi

doi:10.1016/s0022-5347(17)58431-1

Cited by 49 publications

(43 citation statements)

References 9 publications

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“…Although different techniques have been modified, high rates of stomal stenosis have been reported in the literature (25). Toyoda (26) emphasized that with the technique they developed, the high rate of stenosis can be overcome by spatulating the ureter and implanting the stoma to skin separated from the epidermis and dermis. Kim et al (27) reduced stenosis rates with a modified version of this technique in which they fixed the tunnel inside the abdominal wall between the anterior and posterior sheaths of the rectus fascia, and suggested that the main cause of stenosis is compression of the ureter by the tunnel in the abdominal wall.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes of Patients Who Underwent Ureterocutaneostomy

Kızılay¹,

Şimşir²,

Cüreklibatir³

et al. 2018

uob

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Objective: Ureterocutaneostomy (UCS) is a urinary diversion (UD) method which is used rarely in a carefully selected patient group. In this study, we aimed to present the data and long-term outcomes of patients who underwent UCS treatment in our clinic. Materials and Methods: A total of 36 patients who underwent UCS between January 2000 and December 2017 were included in the study. All patients had unilateral or bilateral ureteral-skin anastomosis. The demographic data, diagnoses, comorbidities, side of UCS (unilateral-bilateral), anesthesia method, operation time, and complications of the patients were recorded from the hospital registry system. The complications and survival status of the patients until the study date were evaluated. The study data were presented as mean (minimum-maximum) and number (percent). Results: Mean follow-up time was 128.5 (8-192) months. The mean American Society of Anesthesiologists score was 3.25. The patients had significant comorbidities, mainly hypertension, chronic obstructive pulmonary disease, and coronary artery disease. UCS was performed most frequently after radical cystectomy due to muscle-invasive bladder tumour (75%) and was usually bilateral (75%). The most common indications for UCS were significant comorbidities (55%). Only 3 (8.33%) patients developed ureteral-skin anastomosis, 6 (16.66%) patients developed pyelonephritis, and 9 patients died during the follow-up period. Conclusion: Although UCS is not a first-line UD method, it should still be kept in mind in the 21 st century for patients unable to tolerate segment excision from the gastrointestinal tract and postoperative complications due to comorbidities.

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Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes of Patients Who Underwent Ureterocutaneostomy

Kızılay¹,

Şimşir²,

Cüreklibatir³

et al. 2018

uob

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“…The reverse, namely squamous metaplasia without leukoplakia, is also possi ble. In cutaneous ureterostomy stomas, instances where everted ureteral mucosa looked like leukoplakia have been reported, but this fact was attributed to epidermis grown from the surrounding skin [9], In our cases the macroscopic apearance of areas where metaplasia was found ranged from normal ureter, maybe with slight Fig. 3.…”

Section: Methodsmentioning

confidence: 47%

Squamous Metaplasia in Cutaneous Ureterostomy Stomas

Ferrer-Roda¹,

Martínez-Escudero²,

Sanjuan³

et al. 1982

Eur Urol

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“…Conventional methods of making a patent stoma in cutaneous ureterostomy may be classified into four cate gories: skin spout [2], skin conduit [3], everted ureteral nipple [1,4], and flush anastomosis using widened ure teral mucosal surface either by spatulation, bivalving or incision [5][6][7], Attempts based on an idea of placing a protective graft between ureter and skin have scarcely been reported in the past except use of omentum, small intestine and a synthetic material.…”

Section: Discussionmentioning

confidence: 99%

Muco-Cutaneous Ureterostomy: an Experimental Study for Prevention of Stomal Stenosis Using Autograft of Vaginal Vestibular Mucosa

Ariyoshi¹,

Hiratsuka²

1983

Urol Int

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To prevent dermal invasion which causes gradual stomal stenosis in cutaneous ureterostomy, transplantation of autologous vaginal vestibular mucosa around the ureteral opening was examined in 9 female dogs. Results of a full-thickness graft to a full-thickness skin bed were hopeful. Though surface keratinization occurred, the thick graft survived well on the abdomen without obvious shrinkage, and the ureteral patency was maintained through the follow-up period with an average of 18 months. This method seemed to be applicable to clinical patients and to dog experiments as a model for separate renal function study.

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A New Technique for Catheterless Cutaneous Ureterostomy

Cited by 49 publications

References 9 publications

Long-Term Outcomes of Patients Who Underwent Ureterocutaneostomy

Long-Term Outcomes of Patients Who Underwent Ureterocutaneostomy

Squamous Metaplasia in Cutaneous Ureterostomy Stomas

Muco-Cutaneous Ureterostomy: an Experimental Study for Prevention of Stomal Stenosis Using Autograft of Vaginal Vestibular Mucosa

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