Retroperitoneoscopic transureteroureterostomy with cutaneous ureterostomy to salvage failed ileal conduit urinary diversion.
Reconstruction for failed urinary diversion is technically challenging, due to severe tissue adhesion around the anastomotic site. We report successful laparoscopic transureteroureterostomy with cutaneous ureterostomy via a completely extraperitoneal approach to salvage failed ileal conduit in two patients with necrotic ileal conduit and bilateral anastomotic obstruction, respectively. This novel, less invasive approach may offer a viable alternative to open surgical revision for failed ileal conduit urinary diversion.
Kaiho
Yasuhiro
Y
Department of Urology, Tohoku University School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8575, Japan. yarai@uro.med.tohoku.ac.jp
Ito
Akihiro
A
Numahata
Kenji
K
Ishidoya
Shigeto
S
Arai
Yoichi
Y
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D009336:Necrosis; D012086:Reoperation; D012187:Retroperitoneal Space / Q000601:surgery; D054047:Surgical Stomas; D017211:Treatment Failure; D014513:Ureter / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects*; D014567:Urography