A Technique Which We Should Consider More: Temporary Cutaneous Ureterostomy

Objective:To evaluate the feasibility, efficacy and complications of cutaneous ureterostomy (CU) in different indications.Materials and Methods:Data from 83 patients who underwent CU between 1991 and 2019 were reviewed retrospectively. Patients with neurogenic bladder, posterior urethral valves, sol...

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Main Authors: Burak Çıtamak, Hasan Serkan Doğan, Taner Ceylan, Meylis Artykov, Serdar Tekgül
Format: Article
Language:English
Published: Galenos Yayinevi 2021-06-01
Series:Journal of Urological Surgery
Subjects:
Online Access: http://jurolsurgery.org/archives/archive-detail/article-preview/a-technique-which-we-should-consider-more-temporar/47654
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spelling doaj-ac22e9cce8d3452cb8522096af0250022021-06-15T12:17:33ZengGalenos YayineviJournal of Urological Surgery2148-95802148-95802021-06-018211812210.4274/jus.galenos.2020.396813049054A Technique Which We Should Consider More: Temporary Cutaneous UreterostomyBurak Çıtamak0Hasan Serkan Doğan1Taner Ceylan2Meylis Artykov3Serdar Tekgül4 Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkiye Objective:To evaluate the feasibility, efficacy and complications of cutaneous ureterostomy (CU) in different indications.Materials and Methods:Data from 83 patients who underwent CU between 1991 and 2019 were reviewed retrospectively. Patients with neurogenic bladder, posterior urethral valves, solitary kidney and bilateral kidney involvement were excluded. A total of 53 patients aged <2 years were included in the analysis. Indications to perform CU were ureterovesical junction obstruction (UVJO) and high-grade vesicoureteral reflux (VUR) with dilatation. Ureteroureterostomy or ureteroneocystostomy methods were preferred for undiversion according to the dilatation status of the ureter.Results:The mean patient age was 4.47±3.6 months, 40 (75.5%) were male and 13 (24.5%) were female. The mean follow-up time was 57.4±41.4 (6-150) months. Loop and end CU were performed in 18 (34%) and 35 (66%) patients, respectively. The indications for CU were UVJO in 26 (49%) and high-grade VUR in 27 patients. Two (3.7%) patients needed dilatation because of stenosis that occurred after CU. Within the follow-up time, 39 patients underwent undiversion. The clinical improvement rate was 94.3%.Conclusion:CU is a simple method with satisfactory results when performed in patients with megaureter and massive dilatation. Despite the less frequent use, it is still an important alternative to the increasingly used conservative methods. http://jurolsurgery.org/archives/archive-detail/article-preview/a-technique-which-we-should-consider-more-temporar/47654 cutaneous ureterostomyurinary diversionhydronephrosismegauretervesicoureteral refluxureterovesical junction obstruction
collection DOAJ
language English
format Article
sources DOAJ
author Burak Çıtamak
Hasan Serkan Doğan
Taner Ceylan
Meylis Artykov
Serdar Tekgül
spellingShingle Burak Çıtamak
Hasan Serkan Doğan
Taner Ceylan
Meylis Artykov
Serdar Tekgül
A Technique Which We Should Consider More: Temporary Cutaneous Ureterostomy
Journal of Urological Surgery
cutaneous ureterostomy
urinary diversion
hydronephrosis
megaureter
vesicoureteral reflux
ureterovesical junction obstruction
author_facet Burak Çıtamak
Hasan Serkan Doğan
Taner Ceylan
Meylis Artykov
Serdar Tekgül
author_sort Burak Çıtamak
title A Technique Which We Should Consider More: Temporary Cutaneous Ureterostomy
title_short A Technique Which We Should Consider More: Temporary Cutaneous Ureterostomy
title_full A Technique Which We Should Consider More: Temporary Cutaneous Ureterostomy
title_fullStr A Technique Which We Should Consider More: Temporary Cutaneous Ureterostomy
title_full_unstemmed A Technique Which We Should Consider More: Temporary Cutaneous Ureterostomy
title_sort technique which we should consider more: temporary cutaneous ureterostomy
publisher Galenos Yayinevi
series Journal of Urological Surgery
issn 2148-9580
2148-9580
publishDate 2021-06-01
description Objective:To evaluate the feasibility, efficacy and complications of cutaneous ureterostomy (CU) in different indications.Materials and Methods:Data from 83 patients who underwent CU between 1991 and 2019 were reviewed retrospectively. Patients with neurogenic bladder, posterior urethral valves, solitary kidney and bilateral kidney involvement were excluded. A total of 53 patients aged <2 years were included in the analysis. Indications to perform CU were ureterovesical junction obstruction (UVJO) and high-grade vesicoureteral reflux (VUR) with dilatation. Ureteroureterostomy or ureteroneocystostomy methods were preferred for undiversion according to the dilatation status of the ureter.Results:The mean patient age was 4.47±3.6 months, 40 (75.5%) were male and 13 (24.5%) were female. The mean follow-up time was 57.4±41.4 (6-150) months. Loop and end CU were performed in 18 (34%) and 35 (66%) patients, respectively. The indications for CU were UVJO in 26 (49%) and high-grade VUR in 27 patients. Two (3.7%) patients needed dilatation because of stenosis that occurred after CU. Within the follow-up time, 39 patients underwent undiversion. The clinical improvement rate was 94.3%.Conclusion:CU is a simple method with satisfactory results when performed in patients with megaureter and massive dilatation. Despite the less frequent use, it is still an important alternative to the increasingly used conservative methods.
topic cutaneous ureterostomy
urinary diversion
hydronephrosis
megaureter
vesicoureteral reflux
ureterovesical junction obstruction
url http://jurolsurgery.org/archives/archive-detail/article-preview/a-technique-which-we-should-consider-more-temporar/47654
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