Stent-free rates in cutaneous ureterostomy urinary diversion after radical cystectomy

Thakker, Parth; Refugia, Justin; Casals, Randy; Able, Corey; Tsivian, Matvey

doi:10.1007/s11255-023-03721-y

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…However, CU comes with certain drawbacks, including the potential for ureteral strictures [15], necrosis, and the often necessary implementation of bilateral ureterostomy, which can complicate postoperative care. Excessive or insu cient dissociation of the ureter during the procedure may lead to high ureteral tension, resulting in impaired blood supply to the ureter.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted radical cystectomy with the clinical application of "Y-shaped" end-to-side ureteral anastomosis in elderly and obese patients

Mou,

Mao,

Liu

et al. 2024

Preprint

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Objective: To investigate the clinical effect and safety of "Y-shaped" end-to-side ureteral anastomosis with robotic endoscopic technique in radical cystectomy (RC) and urinary diversion (UD) in elderly and obese patients with bladder cancer. Materials and methods: We retrospectively reviewed the records of 10 patients with bladder cancer who underwent robot-assisted laparoscopic radical cystectomy and "Y-shaped" end-to-side ureteral anastomosis under general anesthesia at Zhejiang Provincial People's Hospital (Affiliated People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China, 310014) from October 2018 to January 2021. Demographic and clinical data are summarized. The incidence of postoperative complications such as papillary retraction, ureteral stricture, anastomotic stenosis, anastomotic fistula and ureteral calculi were observed and analyzed. Results: A total of 10 elderly and obese patients successfully underwent RC with "Y-shaped" end-to-side ureteral anastomosis in this research. Median age was (80.6±5.7)y and BMI was (25.12±3.83) kg/m2. The operation time was (95±26) min and the estimated intraoperative blood loss was (100.5±35.6) ml, with no perioperative blood transfusion and no readmission 30 days after operation. No serious complications above Clavien-Dindo grade 4 occurred in the early (≤30 d) and late (> 30 d) after surgery. 1 patient developed fever 3 days after operation and was cured by strengthening anti-infection. 1 patient had a small amount of urine leakage at the anastomotic site after operation, and recovered after strengthening nutrition and maintaining the patency of abdominal drainage tube and single J tube. Postoperatively, the patients replaced the single J tube regularly and were followed up for 3-28 months (average 15 months) until April 10, 2021. In 2 cases, the ureterostomy nipple was slightly retracted and collapsed without special treatment. 1 case formed ureteral calculi and was treated conservatively. No ureteral stenosis, necrosis, anastomotic stenosis or severe anastomotic fistula, hernia around the stoma occurred. No visceral metastases or new lesions of urothelial carcinoma were observed. All patients were satisfied with the postoperative quality of life. Conclusions: The robot-assisted "Y-shaped" end-to-side ureteral anastomosis technique performed intracorporeally seems to be a straightforward, secure, and viable approach. It is considered suitable for radical resection of bladder cancer and urinary diversion in elderly and obese patients.

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Section: Discussionmentioning

confidence: 99%

Robot-assisted radical cystectomy with the clinical application of "Y-shaped" end-to-side ureteral anastomosis in elderly and obese patients

Mou,

Mao,

Liu

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Although there are tubeless techniques, a catheter is placed in the ureter for periodic replacement to prevent blockage of the fistula in some cases. Catheter replacement was required in 26% of cutaneous ureterostomy after radical cystectomy, which was not a small proportion [ 2 ]. Catheter-related complications have been reported.…”

Section: Introductionmentioning

confidence: 99%

Potential of Cranberry Jelly to Prevent Urinary Stone Formation After Cutaneous Ureterostomy: A Case Report

Kaga,

Kaga

2024

Cureus

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One complication of cutaneous ureterostomy is urinary stone formation, which may lead to recurrent pyelonephritis. Frequent catheter changes and the prophylactic administration of antibiotics are commonly used to prevent stone formation. Cranberry products have been reported to inhibit stone formation in indwelling urethral catheters. We herein examined the inhibitory effects of a cranberry product on stone formation in a case of catheter occlusion due to stone formation after cutaneous ureterostomy. The results obtained indicate the potential of cranberry products to prevent stone formation after cutaneous ureterostomy requiring catheter placement.

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Surgeon-administered regional nerve blocks during radical cystectomy: a feasibility study

Refugia,

Thakker,

Roebuck

et al. 2024

Int Urol Nephrol

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Stent-free rates in cutaneous ureterostomy urinary diversion after radical cystectomy

Cited by 5 publications

References 12 publications

Robot-assisted radical cystectomy with the clinical application of "Y-shaped" end-to-side ureteral anastomosis in elderly and obese patients

Robot-assisted radical cystectomy with the clinical application of "Y-shaped" end-to-side ureteral anastomosis in elderly and obese patients

Potential of Cranberry Jelly to Prevent Urinary Stone Formation After Cutaneous Ureterostomy: A Case Report

Surgeon-administered regional nerve blocks during radical cystectomy: a feasibility study

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