Retroperitoneoscopic ureterocutaneostomy for obstructive uropathy with advanced bladder cancer: a case report.
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.
Nakamura
Eijiro
E
Department of Urology, Kyoto University Graduate School of Medicine, Japan.
Terachi
Toshiro
T
Kamoto
Toshiyuki
T
Okuno
Hiroshi
H
Terai
Akito
A
Kakehi
Yoshiuki
Y
Ogawa
Osamu
O
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*