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Retroperitoneoscopic cutaneous ureterostomy

S Altarac1, G Janetschek

  • 1Department of Urology, University of Innsbruck, Austria.

Scandinavian Journal of Urology and Nephrology
|June 1, 1997
PubMed
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This study presents a minimally invasive endoscopic cutaneous ureterostomy for advanced cervical cancer complications. The procedure successfully restored kidney function with minimal blood loss and a short recovery period.

Area of Science:

  • Urology
  • Surgical Oncology
  • Gynecologic Oncology

Background:

  • Advanced cervical carcinoma can lead to severe urinary tract complications, including bilateral ureteral stenosis and fistulas.
  • Long-standing ureteral obstruction may result in non-functioning kidneys, necessitating renal function preservation strategies.

Observation:

  • A 56-year-old woman with advanced cervical cancer presented with bilateral ureteral stenosis and a vesicovaginal fistula, resulting in a non-functioning right kidney.
  • Initial management involved percutaneous nephrostomy to restore function in the contralateral kidney.

Findings:

  • A minimally invasive, four-port retroperitoneal endoscopic cutaneous ureterostomy was successfully performed.
  • The procedure involved mobilizing and transecting the ureter, exteriorizing it through a 10-mm trocar.

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  • Operative time was 165 minutes with less than 30 ml estimated blood loss, followed by a short convalescence.

    • Implications:

    • Endoscopic cutaneous ureterostomy offers a viable, less invasive surgical option for managing complex urinary tract obstructions secondary to advanced cervical cancer.
    • This approach can effectively preserve renal function and improve patient outcomes with reduced morbidity.
    • Further research into minimally invasive techniques for managing gynecologic oncology-related urologic complications is warranted.