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Cutaneous ureterostomy with an introverted pediculate skin flap
International Urology and Nephrology
|January 1, 1986
Summary
This study introduces an improved cutaneous ureterostomy technique using an introverted skin flap to prevent stomal strictures. The method proved successful in most cases, even with varying ureteral sizes.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Strictures of the terminal ureter and stoma are common complications of standard unintubated cutaneous ureterostomy.
- A modified surgical approach is needed to mitigate these risks, particularly in cases with normal ureteral lumens.
Purpose of the Study:
- To evaluate the efficacy of a novel cutaneous ureterostomy technique employing an introverted skin flap.
- To assess the applicability of this method across different ureteral lumen characteristics.
Main Methods:
- A retrospective review of 9 patients undergoing cutaneous ureterostomy with an introverted skin flap over a 2-year period.
- The technique was applied in cases with normal, wide, short, or relatively short ureteral lumens.
Main Results:
- The introverted skin flap technique was successful in the majority of cases.
- Ureteral drainage was required in 2 cases due to flap necrosis (1) and allergic skin reaction (1).
- Successful outcomes were observed irrespective of ureteral lumen size.
Conclusions:
- The introverted skin flap technique for cutaneous ureterostomy is a viable option for preventing stomal strictures.
- This method demonstrates effectiveness in a diverse range of ureteral lumen conditions.