[Diversions of the upper urinary tract] in oncologic patients].
Herein it is described the survival rate, the quality of life and the complications of the upper urinary tract diversion in 22 pluri-treated tumoral patients (both male and female, average 65.2 years old). Cancer etiology has been: colon-rectum neoplasia (36.3%), bladder carcinoma (36.3%), prostate carcinoma (9.9%), ovary cancer (4.5%), abdominal wall desmoid tumor (4.5%), pheochromocytoma (4.5%) and gastric carcinoma (4.5%). Urinary diversions type has been: percutaneous nephrostomy (40.9%), ureteral stent (31.8%), both (13.6%) and cutaneous ureterostomy (13.6%). Urinary diversions were performed unilateral in 90.9%. The average survival has been 4.8 months. The quality of life was poor in 68.1%. The following complications were observed: urinary infection (45.4%), hematuria (36.3%), diversion catheter lose (34.8%) and obstruction (27.2%). Urinary diversion in pluri-treated cancer patients must be carefully indicated to prevent negative aspects upon psychophysic and social activity of the patients.
Mohamed Mohamed-Abdallah
Z
Z
Cátedra y Servicio de Urología, Hospital Universitario San Carlos, Universidad Complutense de Madrid.
Esteban Fuertes
M
M
Hermida Gutiérrez
J
J
Chicharro Almarza
G J
GJ
Luengo Alpuente
S
S
Ramírez Fernández
J C
JC
Resel Estévez
L
L
D000008:Abdominal Neoplasms / Q000150:complications*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D015996:Survival Rate; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery*; D014547:Urinary Diversion
Derivaciones del tracto urinario superior en pacientes oncológicos.