Unlabelled: End-to-end of terminal ureteral segments seems to be a good alternative to terminal cutaneous ureterostomy in very selected cases (patients with short life-expectancy or when it is impossible to utilize the bowel for urinary diversion).
Background: An end-to-end ureteral anastomosis (UA) drained by a single percutaneous nephrostomy is proposed as an alternative to permanent cutaneous ureterostomy.
Methods: In eight patients who underwent radical cystectomy, an end-to-end UA was realized. All patients had an advanced pelvic neoplasm and/or severe comorbidities with a short life-expectancy.
Results: End-to-end UA is a very simple intervention, well tolerated by the patient that requires only the periodic substitution of the nephrostomy.
Conclusions: In very selected cases (patients with short life-expectancy, advanced disease) end-to-end UA is a quick and easy way to divert the urine after bladder removal.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s11255-004-7971-3 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Management of Ureteral Stricture Disease After Radiation Therapy for Pelvic Malignancies: A Retrospective, Multi-Institutional Analysis.
Cancers (Basel)
October 2024
Robotic and Minimally-Invasive Urology Unit, Azienda Ospedaliero Universitaria, Policlinico Tor Vergata, 00133 Rome, Italy.
Objectives: A radiation-induced ureteral stricture (RIUS) is a challenging condition in urologic surgery, and the optimal surgical strategy is still a matter of debate. The aim of this study was to report post-operative outcomes of minimally invasive management of this condition from a multi-institutional cohort.
Methods: Data of patients with diagnoses of RIUS at five referral robotic centers between January 2017 and December 2022 were retrospectively analyzed.
Subcutaneous ureteral bypass for treatment of proximal ureteral obstruction secondary to retroperitoneal fibrosis after renal transplantation in a cat.
JFMS Open Rep
August 2024
University of Wisconsin-Madison, School of Veterinary Medicine, Department of Surgical Sciences, Madison, WI, USA.
Case Summary: A 5.5-year-old male neutered domestic shorthair cat was presented with a 2-year history of progressive chronic kidney disease. Abdominal ultrasonography revealed bilateral chronic renal degeneration, nephrolithiasis, cortical hyperechogenicity and infarction.
View Article and Find Full Text PDFModified Ex Vivo Renal Reconstruction to Facilitate Fenestrated-Branched Endovascular Repair of a Thoracoabdominal Aortic Aneurysm.
J Endovasc Ther
August 2024
Advanced Aortic Research Program, Department of Cardiothoracic & Vascular Surgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.
Article Synopsis
- The report discusses a surgical technique called modified ex vivo renal artery reconstruction used in a patient with two small right renal arteries, as part of a staged hybrid repair prior to a planned endovascular aortic repair for a thoracoabdominal aortic aneurysm.
- The initial surgery involved creating a hepato-renal bypass using a saphenous vein graft to link both small right renal arteries, followed by a second stage that utilized a custom stent-graft to address the main arteries affected by the aneurysm, successfully preserving kidney function.
- The case highlights the advantages of hybrid surgical methods in managing complex vascular issues, particularly how the modified ex vivo technique enables precise reconstruction of renal arteries
Uretero-uterine fistula following Manual Vacuum Aspiration for Incomplete abortion: A rare case report.
Radiol Case Rep
September 2024
Department of Radio Diagnosis and Imaging, Shree Birendra Hospital, NAIHS, Kathmandu, Nepal.
Genitourinary fistulas are a well-recognized complication of various gynecological, obstetrical, and endourological interventions. The incidence of uretero-uterine fistula is very rare compared to other genitourinary fistulas. Few cases are reported in literature regarding the uretero- uterine fistula following manual vacuum aspiration of retained product of placenta.
View Article and Find Full Text PDFClinical efficacy of ureteroscopy-assisted laparoscopic ureteroplasty in the treatment of ureteral stricture after pelvic surgery.
Int Urol Nephrol
November 2024
Department of Urology, Ganzhou People's Hospital, Jiangxi Medical College, Nanchang University, Ganzhou, Jiangxi, China.
Objective: This study is to investigate the safety and efficacy of ureteroscope-assisted laparoscopic ureteroplasty in treating ureteral stricture after pelvic surgery.
Methods: A retrospective analysis of the clinical data of 95 patients treated for ureteral stricture at Ganzhou People's Hospital from June 2017 to March 2023 after pelvic surgery. In this group, 49 patients underwent ureteroscope and laparoscopic ureteroplasty under lithotomy position.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!