End-to-end ureteral anastomosis: a simple alternative to cutaneous ureterostomy in selected patients
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Published on: May 7, 2019
Paolo Panella1, Pietro Pepe, Luigi Motta
1Urology Unit, Cannizzaro Hospital, Catania, Italy, panellapaolo@tiscali.it
Unlabelled:
End-to-end of terminal ureteral segments seems to be a good alternative to terminal cutaneous ureterostomy in very selected cases (patients with short life-expectancy or when it is impossible to utilize the bowel for urinary diversion).
Background:
An end-to-end ureteral anastomosis (UA) drained by a single percutaneous nephrostomy is proposed as an alternative to permanent cutaneous ureterostomy.
Methods:
In eight patients who underwent radical cystectomy, an end-to-end UA was realized. All patients had an advanced pelvic neoplasm and/or severe comorbidities with a short life-expectancy.
Results:
End-to-end UA is a very simple intervention, well tolerated by the patient that requires only the periodic substitution of the nephrostomy.
Conclusions:
In very selected cases (patients with short life-expectancy, advanced disease) end-to-end UA is a quick and easy way to divert the urine after bladder removal.
