Simple technique for improving tubeless cutaneous ureterostomy

Kim, Chul Jang; Wakabayashi, Yoshihiko; Sakano, Yuji; Johnin, Kazuyoshi; Tokura, Y.; Okada, Yusaku

doi:10.1016/j.urology.2004.12.009

Cited by 27 publications

(40 citation statements)

References 12 publications

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“…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. Our technique was similar to both of these methods, and we believe that ureteral spatulation and fixation of the tunnel to the abdominal wall contributed to our low rate of stomal stenosis.…”

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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“…Within 3 months after surgery acute pyelonephritis developed in about 20% of patients. 7,8 After this period the incidence of this complication decreased. The transient postoperative hydronephrosis with cutaneous ureterostomy may be vulnerable to urinary tract infection.…”

Section: Discussionmentioning

confidence: 93%

“…[2][3][4][5][6][7] We reported a high catheter-free rate of 89.8% in 59 renal units with the introduction of a new surgical stabilization step for the abdominal wall tunnel. 8 However, there are no diagnostic criteria to evaluate stomal stenosis in cutaneous ureterostomy. The diagnosis is usually established by a combination of clinical symptoms, ultrasonography, drip infusion pyelography (DIP) and level of serum creatinine (sCr).…”

mentioning

confidence: 99%

Evaluation of Hydronephrosis With Tubeless Cutaneous Ureterostomy Using Tc-99m MAG3 Diuretic Renography

Kim

Takimoto²,

Tomita³

et al. 2009

Clinical Nuclear Medicine

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“…1 When tubeless cutaneous ureterostomy is successfully performed, this procedure is as efficient as the other types of incontinent diversions. 2 However, the ureter should be long enough to position the stoma site in the lower quadrant of the abdominal wall. In the 1960s, Higgins reported the initial 6 experiences with umbilical cutaneous ureterostomy as a solution for insufficient ureter length.…”

Section: Introductionmentioning

confidence: 99%

Clinical benefits of tubeless umbilical cutaneous ureterostomy

Numakura

Tsuchiya

Takahashi

et al. 2015

CUAJ

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Introduction: We assess a novel technique of tubeless bilateral cutaneous ureterostomy, with a single umbilical stoma, for bladder cancer patients with short ureters after cystectomy. The benefit of cutaneous ureterostomy is equal to other incontinent urinary diversions, when the tubeless procedure is successfully achieved. This simple technique makes it easy to monitor the upper urinary tract (UUT) and is beneficial to patients with a high risk of UUT recurrence. Methods: This old and new surgical technique was used to perform total cystectomy and urinary diversion on three patients with bladder cancer at a high risk of UUT recurrence. Results: Two men and one woman (mean age: 73 years) underwent this surgery and the mean follow-up period was 8.3 years. The surgical approaches were laparotomy (n = 2) and laparoscopy (n = 1). One case developed para-stomal erosion, whereas another developed ureteral stenosis requiring catheter reinsertion. Although postoperative hydronephrosis was observed in all cases, the mean preoperative and postoperative serum creatinine levels were 0.70 and 0.76, respectively. UUT recurrence was not observed during the follow-up period. Conclusion: This tubeless umbilical cutaneous ureterostomy procedure greatly improves the outcome of urinary diversion for cancer patients with short ureters at a high risk of UUT recurrence. The benefits are equivalent to other urinary diversions when the tubeless procedure is successfully achieved.

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Simple technique for improving tubeless cutaneous ureterostomy

Cited by 27 publications

References 12 publications

Long-Term Outcomes of Patients Who Underwent Ureterocutaneostomy

Long-Term Outcomes of Patients Who Underwent Ureterocutaneostomy

Evaluation of Hydronephrosis With Tubeless Cutaneous Ureterostomy Using Tc-99m MAG3 Diuretic Renography

Clinical benefits of tubeless umbilical cutaneous ureterostomy

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