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Related Concept Videos

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Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
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Related Experiment Video

Updated: Jun 16, 2026

A Mouse Model to Evaluate the Long-Term Structural and Functional Outcomes after the Reversal of Prolonged Unilateral Ureteric Obstruction
05:34

A Mouse Model to Evaluate the Long-Term Structural and Functional Outcomes after the Reversal of Prolonged Unilateral Ureteric Obstruction

Published on: July 18, 2025

Nephrocutaneous bypass in ureteral obstruction.

Holger Gerullis1, Thorsten H Ecke, Klaus Schwartmann

  • 1Department of Urology, Lukas Hospital, Neuss, Germany. holger.gerullis@gmx.net

Urology
|February 17, 2010
PubMed
Summary

Nephrocutaneous bypass offers a safe urinary diversion for patients with incurable ureteral obstruction. This technique improves renal function and quality of life, providing greater mobility and independence.

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Related Experiment Videos

Last Updated: Jun 16, 2026

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Published on: December 20, 2014

Area of Science:

  • Urology
  • Surgical Procedures

Background:

  • Incurable ureteral obstruction presents challenges for urinary diversion.
  • Subcutaneous pyelovesical bypass may not be suitable for all patients.

Purpose of the Study:

  • To describe experiences with nephrocutaneous bypass.
  • To assess its role in urinary diversion for specific patient groups.

Main Methods:

  • Nephrocutaneous bypass performed on 15 patients with malignant or benign ureteral obstruction.
  • Eligibility required significant bladder/sphincter system disturbance.

Main Results:

  • No major perioperative complications observed.
  • Improved renal function and quality of life reported by all patients.
  • 13 patients (87%) met objective criteria for "useful life".

Conclusions:

  • Nephrocutaneous bypass is a safe and feasible method for pyelovesical drainage.
  • It enhances mobility and quality of life for patients with short life expectancy.
  • Applicable in nonmalignant cases with careful consideration of alternatives.