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Uretero-ureterostomy, transuretero-ureterostomy
International Urology and Nephrology
|January 1, 1981
Summary
Uretero-ureterostomy is a viable surgical option for urinary diversion. Transuretero-uretero-cutaneostomy showed no recipient ureter stenosis, but careful selection of wide-lumen ureters is crucial to prevent skin stoma stenosis.
Area of Science:
- Urology
- Surgical Techniques
Background:
- Uretero-ureterostomy offers reconstructive possibilities for urinary diversion, particularly with a healthy bladder or supracystic diversion.
- The historical context and surgical techniques of uretero-ureterostomy are detailed, emphasizing anastomosis in ureters of varying lumen widths.
Observation:
- A clinical series of 21 uretero-ureterostomy cases is presented.
- Seventeen cases involved transuretero-uretero-cutaneostomy, a specific type of uretero-ureterostomy.
- No instances of recipient ureter stenosis were observed in the transuretero-uretero-cutaneostomy group.
Findings:
- The primary complication identified in transuretero-ureterostomy was stenosis at the ureterocutaneostomy site.
- Successful outcomes were achieved by anastomosing only wide-lumen ureters to the skin in transuretero-ureterocutaneostomy procedures.
Implications:
- Uretero-ureterostomy, especially transuretero-uretero-cutaneostomy, presents a valuable surgical approach with manageable complications.
- Careful patient selection, focusing on ureter diameter, is key to optimizing outcomes and minimizing adverse events in ureterocutaneostomy.
- This technique provides an alternative for urinary diversion, highlighting the importance of precise surgical execution.