title: Improved technique of tubeless cutaneous ureterostomy and results of permanent urinary diversion.
abstract: An improved technique of tubeless cutaneous ureterostomy through a single stoma was devised by modifing the traditional cutaneous ureterostomy. Using this method, urinary diversions were performed on 12 cases with malignancies: 6 had radical cystectomy and the other 6 had pelvic exenteration. Normal bilateral ureters were observed in 11 cases in preoperative intravenous pyelography. Stomal stenosis was found in 1 case (8.3%) requiring operative stomal revision. Generally satisfactory results were obtained. This method could lower the incidence of complications. A long-term follow-up is needed, but 2 cases who have survived for more than 4 years since the operation have shown excellent results. It was thought that it would be difficult to perform tubeless cutaneous ureterostomy on normal-sized ureters, but our clinical results indicate that this method may be able to provide permanent urinary diversion.
authors.affiliation: Department of Urology, Fujisawa City Hospital, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Hirokawa
authors.forename: A
authors.initials: A
authors.lastname: Iwasaki
authors.forename: A
authors.initials: A
authors.lastname: Yamazaki
authors.forename: S
authors.initials: S
authors.lastname: Asakura
authors.forename: A
authors.initials: A
authors.lastname: Nozaki
authors.forename: T
authors.initials: T
authors.lastname: Yamagishi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010385:Pelvic Exenteration; D012004:Rectal Neoplasms / Q000601:surgery; D013997:Time Factors; D014519:Ureterostomy / Q000379:methods*; D001743:Urinary Bladder / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion