[Ureterocutaneostomy. A view of the method today]

The paper presents the authors' opinion of ureterocutaneostomy (UCS) as a technique for the drainage of the urinary tract in case of its obstruction-related changes. The opinion was based on the analysis of 12 UCS outcomes. Routine indications to UCS are presented and principal shortcomings of the technique discussed. Topographical and anatomical abnormalities of the retroperitoneal ureter position, a decrease in the functional performance of the ureter result in certain technical difficulties that face the surgeon in the following reconstructive operations. There is a well-known complication of UCS, so-called "dry" urinary bladder, which excludes any further surgical correction in the infravesical part of the urinary tract. Presenting the clinical data and regarding percutaneous paracentetic nephrostomy as an optimum technique for the clinical practice, the authors concluded UCS to be impracticable.