Percutaneous transrenal ureteroneocystostomy.
Advanced cancer of the prostate causes mechanical obstruction of the ureteral orifice in 10% of patients. In our patient with advanced prostate carcinoma, after the usual method of placement of a ureteral stent had failed, antegrade percutaneous ureteroneocystostomy with placement of a double-J performed by means of the Lawson retrograde nephrostomy set. After removal of the stent 8 months later, the anastomosis functioned without a decrease in caliber until the patient died 2 years later. Our technique represents another new option for the treatment of such patients.
Rosdy
E
E
Department of Urology, Bajcsy Zs. Hosp., Budapest, Hungary.
D000230:Adenocarcinoma / Q000150:complications / Q000473:pathology / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D003559:Cystostomy; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local; D010166:Palliative Care / Q000379:methods*; D011471:Prostatic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D015607:Stents; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014519:Ureterostomy; D014567:Urography