Related Experiment Videos
Transureteroureterostomy with cutaneous ureterostomy: a 25-year experience
L M Rainwater1, F J Leary, C C Rife
1Department of Urology, Mayo Clinic, Rochester, Minnesota 55905.
The Journal of Urology
|July 1, 1991
Summary
Transureteroureterostomy with cutaneous ureterostomy is a viable urinary diversion for select patients. This technique showed improved or stable renal function in 75% of cases, despite common complications like urine leakage and stomal stenosis.
Area of Science:
- Urology
- Surgical Oncology
- Nephrology
Background:
- Urinary diversion is crucial for managing benign and malignant urologic conditions.
- Transureteroureterostomy with cutaneous ureterostomy is one such diversion technique.
- Evaluating its efficacy and complications is important for clinical decision-making.
Purpose of the Study:
- To assess the indications and complications of transureteroureterostomy with cutaneous ureterostomy.
- To evaluate the impact of this procedure on renal function.
- To determine the viability of this technique as a urinary diversion.
Main Methods:
- Retrospective review of 67 patients who underwent transureteroureterostomy with cutaneous ureterostomy.
- Analysis of indications for the procedure (benign vs. malignant disease).
- Documentation and assessment of post-operative complications and renal function.
Main Results:
- The procedure was performed for both benign (32 patients) and malignant (35 patients) diseases.
- Common complications included urine leakage at the ureteroureterostomy, stomal stenosis, and calculus formation.
- Renal function improved or remained stable in 75% of the patients.
Conclusions:
- Transureteroureterostomy with cutaneous ureterostomy is a feasible urinary diversion method for specific patient groups.
- While complications exist, the procedure can maintain or improve renal function.
- Careful patient selection is key to successful outcomes with this technique.