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Palliative urinary diversion.

The Surgical Clinics of North America

|December 1, 1982

Summary

This summary is machine-generated.

Palliative urinary diversion offers crucial support for cancer patients, aiding diagnosis, pain management, and treatment. The decision for diversion considers individual patient factors and available methods like ureteral stents or surgical options.

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Area of Science:

Urology
Oncology
Palliative Care

Background:

Advancements in nonsurgical urinary diversion and cancer treatments increase patient eligibility for palliative urinary diversion.
Urinary diversion is essential for diagnosis, pain/sepsis management, and supporting other disease treatments.

Purpose of the Study:

To outline indications and considerations for palliative urinary diversion in cancer patients.
To review various methods of urinary diversion based on clinical scenarios.

Main Methods:

Review of current practices and indications for palliative urinary diversion.
Discussion of internal diversion (ureteral stents), percutaneous nephrectomy, and surgical diversion techniques (cutaneous ureterostomy, ileal segment diversion).

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Main Results:

Urinary diversion is indicated for diagnosis, pain, sepsis, and to facilitate other treatments.
Decision-making for diversion in refractory uremia requires individualized assessment (age, tumor type, socioeconomics).
Preferred methods include ureteral stents, followed by percutaneous nephrectomy or surgical diversion based on ureteral status.

Conclusions:

Palliative urinary diversion plays a vital role in comprehensive cancer care.
Method selection for urinary diversion should be tailored to patient-specific factors and clinical feasibility.
Internal diversion methods are preferred when possible, with surgical options reserved for specific indications.