Retroperitoneoscopic ureterocutaneostomy for obstructive uropathy with advanced bladder cancer: A case report

Abstract

A 71-year-old man who had previously undergone left nephroureterectomy for renal pelvic tumor developed advanced bladder cancer with obstructive uropathy. He complained of severe macroscopic hematuria, dysuria and presented with postrenal failure. To rescue the renal function and improve ease the patient's symptoms, retroperitoneoscopic ureterocutaneostomy was performed. The operation time was 90 min and blood loss was kept to a minimum. He was able to walk and eat on the first postoperative day, and he left the hospital on postoperative day 21 with satisfactory renal function. Retroperitoneoscopic ureterocutaneostomy is simple, less invasive and a reproducible procedure for poor prognostic advanced cancer patients with obstructive uropathy.

CASE REPORTS Retroperitoneoscopic ureterocutaneostomy as a method of urinary diversion in case of complicated urinary fistula after radiotherapy

“…We also excluded the ileal conduit as a method of treatment because of the high risk of complications when performed on previously radiated intestines. Some of authors consider ureterohydronephrosis as an indication for laparoscopic ureterocutaneostomy [8, 9]. We applied it successfully in a non-obstructed patient, in whom in our opinion it seemed to be a reasonable alternative to other methods of urine derivation.…”

“…The formation of post-irradiation fistula is caused by hypovascularization and massive fibrosis of the tissues; these factors also highly impair the healing process after surgical repair [5, 6, 7]. There are only few publications regarding laparoscopic ureterocutaneostomy [8–10]. This method has been used in patients with advanced pelvic organs (e.g.…”

“…This method has been used in patients with advanced pelvic organs (e.g. prostate, bladder, uterus) causing obstructive uropathy [8, 9]. It is generally considered as a simple, minimally invasive method.…”

Determining the optimum way to maintain quality of life for very elderly patients with advanced bladder cancer and poor performance status: A case report

“…On the other hand, as it is a permanent and irreversible procedure, decisions regarding this option must be made following careful consideration of the individual's condition and risk assessment. Nakamura et al (14) performed retroperitoneoscopic ureterocutaneostomy in a patient with advanced bladder cancer who had a solitary kidney. Although the patient died of progressive disease 3 months after the operation, they did not present signs of postrenal failure nor did he complain of macrohematuria after the operation (14).…”

“…Nakamura et al (14) performed retroperitoneoscopic ureterocutaneostomy in a patient with advanced bladder cancer who had a solitary kidney. Although the patient died of progressive disease 3 months after the operation, they did not present signs of postrenal failure nor did he complain of macrohematuria after the operation (14). In the present case, urinary diversion was performed only on the left side, as the right kidney was hydronephrotic, atrophic and nonfunctional, due to tumor obstruction.…”