Scientific articleCutaneous ureterostomy as palliative diversion in adults with malignancy
References (11)
- et al.
The rationale of urinary diversion in cancer patients
J Urol
(1979) - et al.
Palliative urinary diversion for pelvic malignancy
J Urol
(1975) Percutaneous nephrostomy: indications, complications and clinical usefulness
J Urol
(1978)- et al.
Percutaneous nephrostomy: experience in 107 kidneys
Urology
(1980) - et al.
The pigtail ureteral stent in the cancer patient
J Urol
(1979)
Cited by (24)
Recommendations for follow-up of muscle-invasive bladder cancer patients: A consensus by the international bladder cancer network
2018, Urologic Oncology: Seminars and Original InvestigationsCitation Excerpt :Analysis of the different guidelines shows that early detection of tumor recurrence is the main focus and nearly half of them stratify between low- and high-risk groups to develop recurrent disease. However, prospective studies addressing the effectiveness of early recurrence detection after RC and the effect on survival are lacking [5–7,11–22,24,26,27,45–47,49]. We conclude that recommendation of an extensive patient work-up including imaging (e.g., CT scan) is not justified in all patients, especially in those with poor performance status and severe medical comorbidities, as treatment of recurrences is mostly palliative.
Urinary Diversion in Renal Transplantation
2018, Urologic Clinics of North AmericaCitation Excerpt :The advantage was thought to lie in avoiding an intestinal anastomosis, which is considered the most morbid part of urinary diversion. However, because of the high stricture rate and infectious complications, it was mostly abandoned.58–62 Older reports of anastomosis of the donor ureter to the native ureter implicated in ureterocutaneous anastomosis has been described with good overall outcome.
Patient Selection and Counseling for Urinary Diversion
2018, Urologic Clinics of North AmericaCitation Excerpt :Cutaneous ureterostomy may be employed when use of a bowel segment is absolutely contraindicated and is most often used in the pediatric population. A stenosis rate greater than 50% and difficulty with pouching limit the applicability of this procedure.4,24 Incontinent diversions should be implemented in patients with significant medical comorbidities precluding them from CD, as well as those unable or unwilling to self-catheterize.
Open Techniques and Extent (Including Pelvic Lymphadenectomy)
2018, Bladder CancerCutaneous ureterostomy technique for adults and effects of ureteral stenting: An alternative to the ileal conduit
2011, Journal of UrologyCitation Excerpt :These reasons were supported by earlier studies in animals and then confirmed by clinical studies done more than 40 years ago, in which ureters obstructed intentionally with fulguration did much better than thin normal ureters when connected to the skin.14,15 Many reports of CU in adults revealed a greater than 50% incidence of stomal stenosis and the need for periodic dilation or long-term intubation.8,9 This was attributable to the ureters being nondilated and nonthickened with ischemia of the distal end when mobilized out of the pelvis.
- ∗
9500 Euclid Avenue Cleveland, Ohio 44106