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[Indications for cutaneous ureterostomy. Experience with 117 cases (author's transl)]
Der Urologe. Ausg. A
|September 1, 1975
Summary
Cutaneous ureterostomy and in situ ureterostomy are safe palliative urinary diversion methods for advanced cancers. While complications like strictures and stones can occur, these procedures offer rewarding outcomes for selected patients.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Review of 74 cutaneous ureterostomies and 22 in situ ureterostomies.
- Focus on palliative urinary diversion in advanced cancers.
Observation:
- Cutaneous ureterostomy frequently used for advanced bladder or gynecological cancers.
- In situ fistula served as temporary urinary diversion.
- All patients presented with chronic urinary tract infections.
Findings:
- 13 patients (12.5%) experienced complications requiring surgical intervention.
- Complications included ureteral stricture (7 cases) and pyonephrosis due to stone formation (6 cases).
Implications:
- Both ureterostomy techniques are considered safe and rewarding for palliative care.
- Careful patient selection and management are crucial to mitigate complications.