title: [Modified Toyoda Method for Complete Duplex Ureters in Tubeless Cutaneous Ureterostomy : Report of a Case].
abstract: A 65-year-old man underwent radical cystectomy and cutaneous ureterostomy for bladder cancer. Because the patient had left complete duplex ureters,we modified the Toyoda method to construct the tubeless cutaneous ureterostomy with a unilateral stomal creation. The adhesive portion of both ureteral walls in duplex ureters was simultaneously cut approximately 5 mm from the distal end longitudinally,and the common sheath of the cut portion of the ureters was cut approximately 5 mm longitudinally in order to separate the two ureters. This procedure was repeated to make a"fish-mouth"aperture. Two opened ureteral walls were formed into the upper and lower plates of the Toyoda method stoma,respectively. To our knowledge,this is the first report of a surgical procedure of the tubeless cutaneous ureterostomy in complete duplex ureters.
authors.affiliation: The Department of Urology, Kohka Public Hospital.
authors.forename: Chul Jang
authors.initials: CJ
authors.lastname: Kim
authors.affiliation: The Department of Urology, Kohka Public Hospital.
authors.forename: Ryo
authors.initials: R
authors.lastname: Fujiwara
authors.affiliation: The Department of Urology, Kohka Public Hospital.
authors.forename: Hiroto
authors.initials: H
authors.lastname: Yamashita
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D014519:Ureterostomy / Q000295:instrumentation / Q000379:methods*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*