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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Galenos Yayinevi
2021-06-01
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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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work_keys_str_mv |
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