A new technique for catheterless cutaneous ureterostomy

Area of Science:

• Urology
• Surgical Innovation

Background:

• Cutaneous ureterostomy is a surgical procedure to divert urine.
• Stomal stenosis is a common complication, leading to significant patient morbidity.
• Existing techniques often rely on nipple formation, which is not always feasible or necessary.

Purpose of the Study:

• To describe a new technique for cutaneous ureterostomy.
• To present a method for preventing stomal stenosis.
• To offer an alternative to nipple formation in ureterostomy.

Main Methods:

• A longitudinal incision creates a fish-mouth opening at the distal ureter.
• Each ureteral segment is sutured to a prepared skin area, devoid of epidermis and dermis.
• The anastomosis is firmly fixed to the skin to promote healing by first intention.

Main Results:

• The described technique has yielded satisfactory results to date.
• Successful avoidance of stomal stenosis was achieved through firm fixation and primary healing.
• Nipple formation was not required for successful outcomes.

Conclusions:

• The new cutaneous ureterostomy technique is effective in preventing stomal stenosis.
• Direct anastomosis of the ureter to prepared skin facilitates healing and reduces complications.
• This approach offers a viable alternative for urinary diversion surgery.