Laparoscopic creation of a catheterizable cutaneous ureterovesicostomy.
Nephrectomy and creation of a cutaneous ureterovesicostomy for intermittent catheterization of the bladder traditionally requires two surgical procedures performed through separate incisions. Herein we report completion of these procedures using a transperitoneal laparoscopic approach, with the ureterovesicostomy stoma created at one of the laparoscopic working ports. The clinical course was remarkable for a shortened postoperative hospitalization (48 hours) with minimal incisional pain, and an excellent long-term result with complete bladder emptying and resolution of urinary infections. Laparoscopic application of the Mitrofanoff principle for creation of a catheterizable cutaneous ureterovesicostomy combines the advantages of both, allowing optimal preservation of ureteral vascularity, minimal morbidity, and efficient bladder evacuation.
Strand
W R
WR
University of Texas Southwestern Medical Center, Dallas, USA.
McDougall
E M
EM
Leach
F S
FS
Allen
T D
TD
Pearle
M S
MS
D000293:Adolescent; D002404:Catheterization / Q000379:methods*; D003559:Cystostomy; D005260:Female; D006801:Humans; D010535:Laparoscopy; D014519:Ureterostomy