Transureteropyeloureterocutaneostomy. Results after 3 years.

Abstract

Despite the most recently available means of creating transitory and palliative diversionary conduits via percutaneous nephrostomy and avoiding definitive conduits by means of intestinal bladder substitutes, alternative supravesical conduits remain topical. This is the case on the one hand when nephrostomy is not desired or tolerated and on the other hand when the general and local prerequisites for vesical bladder replacement are absent. For these cases, transureteropyeloureterocutaneostomy is available as a new modification. In this method, both kidneys are drained with a single cutaneous stoma without intestinal connection via an intubated ureter (as a ureteral conduit). The results of 3 years of experience in 23 patients are communicated.