title: End-to-end ureteral anastomosis: a simple alternative to cutaneous ureterostomy in selected patients.
abstract: End-to-end of terminal ureteral segments seems to be a good alternative to terminal cutaneous ureterostomy in very selected cases (patients with short life-expectancy or when it is impossible to utilize the bowel for urinary diversion).
  
  
  BACKGROUND
  An end-to-end ureteral anastomosis (UA) drained by a single percutaneous nephrostomy is proposed as an alternative to permanent cutaneous ureterostomy.
  
  
  METHODS
  In eight patients who underwent radical cystectomy, an end-to-end UA was realized. All patients had an advanced pelvic neoplasm and/or severe comorbidities with a short life-expectancy.
  
  
  RESULTS
  End-to-end UA is a very simple intervention, well tolerated by the patient that requires only the periodic substitution of the nephrostomy.
  
  
  CONCLUSIONS
  In very selected cases (patients with short life-expectancy, advanced disease) end-to-end UA is a quick and easy way to divert the urine after bladder removal.
authors.affiliation: Urology Unit, Cannizzaro Hospital, Catania, Italy, panellapaolo@tiscali.it
authors.forename: Paolo
authors.initials: P
authors.lastname: Panella
authors.forename: Pietro
authors.initials: P
authors.lastname: Pepe
authors.forename: Luigi
authors.initials: L
authors.lastname: Motta
authors.forename: Letterio
authors.initials: L
authors.lastname: D'Arrigo
authors.forename: Francesco
authors.initials: F
authors.lastname: Savoca
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Candiano
authors.forename: Michele
authors.initials: M
authors.lastname: Pennisi
authors.forename: Francesco
authors.initials: F
authors.lastname: Aragona
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D015653:Cystectomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D014513:Ureter / Q000601:surgery*; D014519:Ureterostomy