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Subcutaneous urinary diversion: an alternative to percutaneous nephrostomy
K Lingam1, P J Paterson, M K Lingam
1Department of Urology, Royal Infirmary, Glasgow, England.
The Journal of Urology
|July 1, 1994
Summary
Subcutaneous urinary diversion offers a safe and effective alternative to traditional nephrostomy for cancer patients with failed ureteral stents. This novel method improves patient quality of life.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Nephrostomy is the standard urinary diversion for cancer patients when ureteral stents fail.
- Alternative methods are needed to improve patient outcomes and quality of life.
Purpose of the Study:
- To evaluate the early experience and feasibility of subcutaneous urinary diversion.
- To assess its safety and efficacy as an alternative to nephrostomy.
Main Methods:
- A novel extra-anatomical subcutaneous urinary diversion was performed in 5 patients over 15 months.
- A 7F double pigtail stent was tunneled from the renal pelvis to the bladder via percutaneous and suprapubic punctures.
- Stent exchanges were performed every 4 months over a guide wire.
Main Results:
- The subcutaneous urinary diversion was successfully implemented in all 5 patients.
- The procedure demonstrated safety and effectiveness in managing urinary diversion needs.
- Patients reported an improved quality of life compared to previous diversion methods.
Conclusions:
- Subcutaneous urinary diversion is a safe, effective, and acceptable alternative to nephrostomy.
- This technique offers a promising option for urinary diversion in select cancer patients.
- Further research is warranted to explore long-term outcomes and broader applications.