A modified cutaneous ureterostomy provides satisfactory short and midterm outcomes in select cases

Yadav, Priyank; Mittal, .; Gaur, Pankaj; Srivastava, Deepakshi; Sk, Sureka; Mandhani, Anil

doi:10.5152/tud.2018.51437

Cited by 6 publications

(9 citation statements)

References 27 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, CU is especially applicable to elderly patients and those with systemic comorbidities 13,35 . However, the high incidence of postoperative stomal stricture limits the application of CU 36,37 . The ischemia of distal ureter is regarded as one of the main factors leading to stomal stricture.…”

Section: Discussionmentioning

confidence: 99%

“…However, when BMI recovers or even reaches the level of overweight, abdominal subcutaneous fat and visceral fat would increase, which would lead to the pulling and tension of the ureter, the compression of the lumen and the extrusion of the ureteral skin stoma. These factors would increase the incidence of ureteral stricture and the probability of postoperative tubeless failure 36,43 . Therefore, patients undergoing MSSCU should receive more rigorous weight management compared with healthy individuals and patients undergoing IC.…”

Section: Discussionmentioning

confidence: 99%

“… 13 , 35 However, the high incidence of postoperative stomal stricture limits the application of CU. 36 , 37 The ischemia of distal ureter is regarded as one of the main factors leading to stomal stricture. Stomal stricture and long‐term indwelling of ureteral stents would significantly decrease the QoL of BCa patients.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy

Zhang,

Huang,

Lin

et al. 2023

Cancer Medicine

View full text Add to dashboard Cite

ObjectiveTo explore the influence of postoperative body mass index (BMI) change on postoperative quality of life (QOL) in patients undergoing radical cystectomy (RC) plus modified single stoma cutaneous ureterostomy (MSSCU) or ileal conduit (IC).MethodsPatients were divided into two groups according to different BMI change patterns: patients experiencing an elevated postoperative BMI level, along with a clinically significant increase in their BMI (an increase of more than 10%) were categorized as Group 1, while patients experiencing a decrease postoperative BMI level, along with a clinically significant reduction in their BMI (a decrease of more than 5%) were categorized as Group 2. Spearman correlation analysis was used to examine the correlations between quality‐of‐life scores and postoperative clinical parameters.ResultsSpearman correlation analysis showed that postoperative BMI, late complications and catheter‐free state were significantly associated with postoperative global QoL and symptom scale in MSSCU and postoperative global QoL and physical scale in IC patients. Additionally, postoperative BMI, catheter‐free state and the use of adjuvant therapy were associated with bad performance in many scales of QoL like body image, future perspective, social scale, future perspective (MSSCU), and abdominal bloating (IC) (Table 2, p<0.05). Patients in Group 2 with significant weight loss had a better Global QoL, a lower rate of stomal stricture and a higher catheter‐free state compared with those in Group 1 in both IC and MSSCU patients. MSSCU patients in Group 2 could achieve a comparable Global QoL as to IC patients in Group 1.ConclusionControlling the substantial increase in body weight after surgery contributes to improving QoL, reducing the occurrence of stomal stricture, and ensuring a postoperative catheter‐free state in BCa patients undergoing MSSCU.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy

Zhang,

Huang,

Lin

et al. 2023

Cancer Medicine

View full text Add to dashboard Cite

show abstract

“…Through preoperative positioning, doctors can choose an ideal stoma location for patients. Accurate positioning of stoma is conducive to nursing staff and patient self-care, improving the quality of nursing, and thus improving the patient's quality of life [17,18]. If the location of the stoma is poorly selected, it will lead to the occurrence of complications such as stoma retraction and stenosis.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Curative Effect and Survival Difference of Three Different Surgical Methods for Bladder Cancer Patients with Radical Cystectomy and Ureterostomy

Yang

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Bladder cancer is one of the most common urinary tract tumors. At present, for the treatment of invasive muscular bladder cancer or high-risk non-invasive muscular bladder cancer, radical cystectomy, urinary diversion and pelvic lymph node dissection are the preferred methods. Ureterostomy is one of the commonly used surgical procedures for postoperative urinary diversion. Open radical cystectomy (ORC), laparoscopic radical cystectomy (LRC) and robot-assisted laparoscopic radical cystectomy (RARC) are common radical cystectomy methods commonly used by urologists. Methods: In this study, patients with bladder cancer were treated with 3 different surgical methods, and the postoperative efficacy was compared, and the survival difference was analyzed. Results: Our results showed that LRC and RARC were significantly superior to ORC in intraoperative and perioperative observation indexes, and LRC and RARC could more completely remove tumors compared with ORC in complex cases. However, the survival time after ORC was longer than that of LRC and RARC patients. Conclusion: Operation methods, tumor staging, pathological grade, and number of lymph nodes dissected are all independent factors affecting patient survival, which should be paid more attention to clinically.

show abstract

“…The major problem is derived from the fact that co-morbid or elderly patients have a higher risk of bowel-associated early complications that may affect 30-day mortality rate [2][3]. The simplest way of urine diversion is cutaneous ureterostomy that could potentially minimize complication rate and preserve life quality, although it is characterized by high incidence of ureteral stenosis [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Transperitoneal Uretercutaneostomy With Use of Mesosigmoid Colon Peritoneum in Patients With Bladder Cancer After Radical Cystectomy

et al. 2020

View full text Add to dashboard Cite

The aim of the study was to we describe the new surgical approach of constructing single site transperitoneal cutaneostomy with the use of sigmoid colon accompanied by skin modified fixation technique and its clinical outcomes. Materials and methods: 89 patients were included in a single center study from January 2015 to May 2019. All patients underwent single-site modified transperitonial ureterocutanesotomy. Clinical and surgical data were analyzed. Statistical analyses were performed using SPSS 22.0. Results: Majority of the patients had a low performance status and rationale for cystectomy was palliative cytoreduction. Almost half of the patients had upper tract obstruction at diagnosis with 40% of patients presenting with a decreased kidney function. Surgical procedure was safe taking to account locally advanced. All the surgeries were performed with acceptable complications rate. Blood loss didn’t exceeded 1000 ml and median operation time was 194 minutes. Early and late postoperative complications were analyzed and stomal stenosis that needed continuous restenting or reoperation was seen in 20% of cases. Conclusions: Single-site modified transperitonial ureterocutanesotomy is safe and effective surgical approach with acceptable complication rates and duration. Such surgery may be used as a major urinary diversion approach in advanced bladder cancer patients with severe symptoms and low-performance status. Further external validation studies needed to evaluate efficacy of the proposed technique.

show abstract

A modified cutaneous ureterostomy provides satisfactory short and midterm outcomes in select cases

Abstract: Modified lateral cutaneous ureterostomy provides relatively straighter and shorter retroperitoneal course of ureter with acceptable morbidity and avoids use of bowel in selected patients.

Cited by 6 publications

References 27 publications

The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy

The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy

Analysis of the Curative Effect and Survival Difference of Three Different Surgical Methods for Bladder Cancer Patients with Radical Cystectomy and Ureterostomy

Transperitoneal Uretercutaneostomy With Use of Mesosigmoid Colon Peritoneum in Patients With Bladder Cancer After Radical Cystectomy

Contact Info

Product

Resources

About