2001
DOI: 10.1089/089277901750426391
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Percutaneous Implantation of Subcutaneous Prosthetic Ureters: Long-Term Outcome

Abstract: The subcutaneous urinary diversion using a silicone-PTFE prosthesis is an efficient and minimally invasive way to bypass malignant or complex benign obstructions of the ureters that otherwise would necessitate permanent nephrostomy drainage.

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Cited by 45 publications
(27 citation statements)
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“…Up to now, no occlusion or encrustation with urine retention has been observed in this system [6,19,20] . In patients with nephrocutaneous bypass, handling of stomal appliances was facilitated, and rehospitalization for nephrostomy exchange was avoided [19] . The nephrocutaneous bypass as an open system carries a higher risk of complications.…”
Section: Discussionmentioning
confidence: 67%
“…Up to now, no occlusion or encrustation with urine retention has been observed in this system [6,19,20] . In patients with nephrocutaneous bypass, handling of stomal appliances was facilitated, and rehospitalization for nephrostomy exchange was avoided [19] . The nephrocutaneous bypass as an open system carries a higher risk of complications.…”
Section: Discussionmentioning
confidence: 67%
“…Interestingly, other studies involving renal transplant recipients with follow-up of to 15 years had no cases of encrustation or obstruction. [15][16][17] Perhaps the encrustations/stones seen in Case 2 may have been related to chronic fungal infections. Despite these infections, renal function remained stable in this patient.…”
Section: Discussionmentioning
confidence: 99%
“…In 3 cases, the EAS had to be removed due skin erosion in one and local tumour progression with bladder fistulae in two patients. Otherwise, five patients survived with the prosthesis in situ and a follow-up as long as 84 months without encrustation, infection, obstruction, or skin problems and with normally functioning kidneys (Jabbour et al, 2001). A prospective evaluation of their patients' quality using the EORTC QLC-30 questionnaire following insertion of the Detour EAS demonstrated an improvement of the function scale as a result of the elimination of the external percutaneous tube and a parallel worsening of the symptom scale secondary to the progression of disease (http://groups.eortc.be/qol/ questionnaires_qlqc30.htm).…”
Section: Discussion Of Resultsmentioning
confidence: 99%