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Percutaneous transuretero-ureterostomy in situ
E Martínez1, F Izquierdo, J Martí
1Fundación Puigvert, Barcelona, Spain.
European Urology
|January 1, 1988
Summary
Percutaneous transurethral nephrostomy (PTU) allows postponing intestinal urinary diversion in high-risk radical cystectomy patients. This technique places a nephrostomy tube through the kidney, later replaced during surgery after ureter repair.
Area of Science:
- Urology
- Surgical Oncology
- Nephrology
Background:
- Radical cystectomy for bladder cancer often necessitates urinary diversion.
- High-risk surgical candidates face challenges with immediate urinary diversion.
- Endourological techniques offer alternative management strategies.
Purpose of the Study:
- To describe percutaneous transurethral nephrostomy (PTU) as a method to defer intestinal urinary diversion.
- To evaluate PTU's role in managing high-risk radical cystectomy patients.
Main Methods:
- PTU involves percutaneous introduction of a nephrostomy tube via the kidney.
- The nephrostomy tube serves as a temporary drainage before definitive surgery.
- The definitive drainage tube replaces the nephrostomy tube during the cystectomy procedure post-ureter repair.
Main Results:
- PTU enables postponement of the planned intestinal urinary diversion.
- This approach is applicable in patients undergoing radical cystectomy with high surgical risk.
Conclusions:
- Percutaneous transurethral nephrostomy is a viable endourological technique.
- It facilitates delaying urinary diversion in select high-risk cystectomy patients.