Urinary diversion in patients with muscle-invasive bladder cancer and severe ureteral stricture: A case report of a new surgical technique

Abstract

The use of an ileal segment has been previously described in the treatment of long-segment ureteral strictures. The aim of this study was to describe the use of a skin and muscle flap tube as an alternative procedure to perform ureterocutaneostomy in patients who are not eligible for the use of bowel segments in the urinary diversion or when the patients are at high risk of morbidity and mortality. We describe the case of a 74-year-old male patient. The technique was performed without complications and complete recovery of the patient. No anastomotic leaks and stenosis were reported at a follow-up of 36 months. The use of a skin and muscle flap tube can be a feasible and safe procedure in case of huge loss of tissue (long-segment ureteral strictures), in patients whose underwent radical cystectomy with UCS, in particular when the patients are not eligible for the use of bowel segments in the urinary diversion or when the patients are at high risk of morbidity and mortality.

Urinary diversion in patients with muscle-invasive bladder cancer and severe ureteral stricture

“…The patient, in this Bricker's procedure, has one urinary diversion and external stoma, and there is no risk of skin stenosis. This article by Chiancone's et al [7] describes a new surgical technique. This is another alternative when the length of the ureter does not allow its use.…”