title: Retroperitoneoscopic ureterocutaneostomy for obstructive uropathy with advanced bladder cancer: a case report.
abstract: A 71-year-old man who had previously undergone left nephroureterectomy for renal pelvic tumor developed advanced bladder cancer with obstructive uropathy. He complained of severe macroscopic hematuria, dysuria and presented with postrenal failure. To rescue the renal function and improve ease the patient's symptoms, retroperitoneoscopic ureterocutaneostomy was performed. The operation time was 90 min and blood loss was kept to a minimum. He was able to walk and eat on the first postoperative day, and he left the hospital on postoperative day 21 with satisfactory renal function. Retroperitoneoscopic ureterocutaneostomy is simple, less invasive and a reproducible procedure for poor prognostic advanced cancer patients with obstructive uropathy.
authors.affiliation: Department of Urology, Kyoto University Graduate School of Medicine, Japan.
authors.forename: Eijiro
authors.initials: E
authors.lastname: Nakamura
authors.forename: Toshiro
authors.initials: T
authors.lastname: Terachi
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Kamoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okuno
authors.forename: Akito
authors.initials: A
authors.lastname: Terai
authors.forename: Yoshiuki
authors.initials: Y
authors.lastname: Kakehi
authors.forename: Osamu
authors.initials: O
authors.lastname: Ogawa
mesh_terms: D000368:Aged; D018450:Disease Progression; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D012187:Retroperitoneal Space; D014517:Ureteral Obstruction / Q000209:etiology / Q000628:therapy*; D014519:Ureterostomy / Q000379:methods*; D001749:Urinary Bladder Neoplasms / Q000150:complications*