Catheterless Cutaneous Ureterostomy

Ariyoshi, Asami; Fujisawa, Yukiko; Ohshima, Kazuhiro; Hiratsuka, Yoshiharu; Sakamoto, Kimitaka

doi:10.1016/s0022-5347(17)67076-9

Cited by 23 publications

(14 citation statements)

References 9 publications

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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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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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“…While most of the procedures were carried out according to the original Ariyoshi method, 10 we did not keep the S‐U fascia and the blood vessels in the cases with the conventional technique. Usually, we would place the stoma on the right side, but chose the side where the ureter was shortened due to the cancer‐invaded part being removed during the surgery.…”

Section: Methodsmentioning

confidence: 99%

“…We used the Ariyoshi method for stomal creation in all patients 10 . Briefly, we made a V‐ or Z‐shaped skin flap at the stomal side.…”

Section: Methodsmentioning

confidence: 99%

“…To reduce the rate of stomal stenosis in the simplest form of urinary diversion, we modified the Ariyoshi method 10 for the cutaneous ureterostomy, preserving the fascia between the spermatic cord and the ureter (S‐U fascia). This modified technique was compared with the conventional technique in various factors associated with the surgery and outcome.…”

Section: Introductionmentioning

confidence: 99%

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Modified technique for improving tubeless cutaneous ureterostomy by Ariyoshi method

Wada¹,

Kikuchi²,

Imamura³

et al. 2008

Int J of Urology

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Objectives:The cutaneous ureterostomy is the simplest urinary diversion method; however, it often causes stomal stenosis, requiring sustained catheterization with regular catheter exchange. In an attempt to prevent stomal stenosis after surgery, the fascia (S-U fascia) between the spermatic cords and the ureters, which is usually cut off, was preserved. The remaining capillaries in the fascia could supply blood to the ureters, which is one of the most important factors for ureter patency. Methods: In 58 patients (93 renal units) undergoing cutaneous ureterostomy, 36 patients (66 renal units) were treated by the modified technique. Results:The surgeries carried out with the modified technique were significantly different in the type of operation, the side relationship, and the catheter-free rate using the univariate analysis by means of the predicted tests, in comparison with 22 patients (27 renal units) that were treated with the conventional technique. Multivariate analysis for the type of operation determined that of the side relationship and the method , only the latter was a significant factor. The modified method allowed~90% of the patients to have a catheter-free life; otherwise 74% of the patients had stomal stenosis, followed by catheterization. Conclusion:The presented cutaneous ureterostomy technique to preserve the fascia is useful not only to prevent stomal stenosis and maintaining good quality of life without catheterization, but also to apply to other types of ureter surgery.

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“…Various attempts have been made to decrease the frequency of this complication. [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.…”

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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Catheterless Cutaneous Ureterostomy

Cited by 23 publications

References 9 publications

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

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

Modified technique for improving tubeless cutaneous ureterostomy by Ariyoshi method

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

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