Cutaneous ureterostomy as palliative diversion in adults with malignancy

MacGregor, Paul S.; Montie, James E.; Straffon, Ralph A.

doi:10.1016/0090-4295(87)90567-x

Cited by 27 publications

(12 citation statements)

References 10 publications

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“…Ureterocutaneous anastomotic stricture and pyelonephritis attacks were two major surgeryrelated complications in our patients, but these occurred at low rates (8.33% and 16.66%, respectively). 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.…”

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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“…For patients in whom use of a bowel segment is absolutely contraindicated, a cutaneous ureterostomy may be performed. Although this is the simplest form of diversion, it suffers from high stenosis rates (>50%) and difficulty with fitting an appliance for the collection of urine [44].…”

Section: Functional or Metabolic Contraindicationsmentioning

confidence: 99%

Improving selection of appropriate urinary diversion following radical cystectomy for bladder cancer

Daneshmand¹,

Bartsch²

2011

Expert Review of Anticancer Therapy

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Radical cystectomy represents the gold-standard of treatment for invasive bladder cancer. Following cystectomy, various options for urinary diversion may be offered to patients. This article represents an overview of the history of urinary diversion, explains the current selection criteria used at one of the most experienced bladder cancer centers worldwide, and provides an update on the current understanding of continence mechanisms. Furthermore, we review the current literature on quality of life for patients with different forms of urinary diversion. Excellent functional results can be achieved with continent forms of urinary diversion. It is important to consider the relative and absolute contraindications when choosing any form of urinary diversion. Proper patient selection and thorough standardized preoperative counseling is critical in achieving optimal results.

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“…Following a successful tubeless cutaneous ureterostomy procedure, catheterization is rarely necessary, although stomal stenosis occurs in 50% of cases. 94 Peristomal skin irritation is also common, and serious complications include impaired renal function and urolithiasis associated with repeated urinary tract infections. A tubeless condition is achieved in 80-90% of cases using the Toyoda 95 and Hirokawa 96 techniques.…”

Section: Explanationmentioning

confidence: 99%

Evidence‐based clinical practice guidelines for bladder cancer (Summary – JUA 2009 Edition)

2010

Int J of Urology

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Abstract:In Japan, until now, the treatment of bladder cancer has been based on guidelines from overseas. The problem with this practice is that the options recommended in overseas guidelines are not necessarily suitable for Japanese clinical practice. A relatively large number of clinical trials have been conducted in Japan in the field of bladder cancer, and the Japanese Urological Association (JUA) considered it appropriate to formulate their own guidelines. These Guidelines present an overview of bladder cancer at each clinical stage, followed by clinical questions that address problems frequently faced in everyday clinical practice. In this English translation of a shortened version of the original Guidelines, we have abridged each overview, summarized each clinical question and its answer, and only included the references we considered of particular importance.

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Cutaneous ureterostomy as palliative diversion in adults with malignancy

Cited by 27 publications

References 10 publications

Long-Term Outcomes of Patients Who Underwent Ureterocutaneostomy

Long-Term Outcomes of Patients Who Underwent Ureterocutaneostomy

Improving selection of appropriate urinary diversion following radical cystectomy for bladder cancer

Evidence‐based clinical practice guidelines for bladder cancer (Summary – JUA 2009 Edition)

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