Clinical benefits of tubeless umbilical cutaneous ureterostomy

Authors

  • Kazuyuki Numakura Akita University Graduate School of Medicine
  • Norihiko Tsuchiya Akita University Graduate School of Medicine
  • Makoto Takahashi Akita University Graduate School of Medicine
  • Hiroshi Tsuruta Akita University Graduate School of Medicine
  • Susumu Akihama Akita University Graduate School of Medicine
  • Mitsuru Saito Akita University Graduate School of Medicine
  • Takamitsu Inoue Akita University Graduate School of Medicine
  • Shintaro Narita Akita University Graduate School of Medicine
  • Mingguo Huang Akita University Graduate School of Medicine
  • Shigeru Satoh Akita University Hospital
  • Tomonori Habuchi Akita University Graduate School of Medicine

DOI:

https://doi.org/10.5489/cuaj.2559

Keywords:

Urinary diversion, Tubeless, Cutaneous ureterostomy, Umbilical stoma

Abstract

Introduction: We assess a novel technique of tubeless bilateral cutaneous ureterostomy, with a single umbilical stoma, for bladder cancer patients with short ureters after cystectomy. The benefit of cutaneous ureterostomy is equal to other incontinent urinary diversions, when the tubeless procedure is successfully achieved. This simple technique makes it easy to monitor the upper urinary tract (UUT) and is beneficial to patients with a high risk of UUT recurrence.

Methods: This old and new surgical technique was used to perform total cystectomy and urinary diversion on three patients with bladder cancer at a high risk of UUT recurrence.

Results: Two men and one woman (mean age: 73 years) underwent this surgery and the mean follow-up period was 8.3 years. The surgical approaches were laparotomy (n = 2) and laparoscopy (n = 1). One case developed para-stomal erosion, whereas another developed ureteral stenosis requiring catheter reinsertion. Although postoperative hydronephrosis was observed in all cases, the mean preoperative and postoperative serum creatinine levels were 0.70 and 0.76, respectively. UUT recurrence was not observed during the follow-up period.

Conclusion: This tubeless umbilical cutaneous ureterostomy procedure greatly improves the outcome of urinary diversion for cancer patients with short ureters at a high risk of UUT recurrence. The benefits are equivalent to other urinary diversions when the tubeless procedure is successfully achieved.

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Author Biographies

Kazuyuki Numakura, Akita University Graduate School of Medicine

Department of Urology

Norihiko Tsuchiya, Akita University Graduate School of Medicine

Department of Urology

Makoto Takahashi, Akita University Graduate School of Medicine

Department of Urology

Hiroshi Tsuruta, Akita University Graduate School of Medicine

Department of Urology

Susumu Akihama, Akita University Graduate School of Medicine

Department of Urology

Mitsuru Saito, Akita University Graduate School of Medicine

Department of Urology

Takamitsu Inoue, Akita University Graduate School of Medicine

Department of Urology

Shintaro Narita, Akita University Graduate School of Medicine

Department of Urology

Mingguo Huang, Akita University Graduate School of Medicine

Department of Urology

Shigeru Satoh, Akita University Hospital

Center for kidney disease and transplantation

Tomonori Habuchi, Akita University Graduate School of Medicine

Department of Urology

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Published

2015-06-18

How to Cite

Numakura, K., Tsuchiya, N., Takahashi, M., Tsuruta, H., Akihama, S., Saito, M., Inoue, T., Narita, S., Huang, M., Satoh, S., & Habuchi, T. (2015). Clinical benefits of tubeless umbilical cutaneous ureterostomy. Canadian Urological Association Journal, 9(5-6), E379–83. https://doi.org/10.5489/cuaj.2559

Issue

Section

Case Series

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