Long-Term Outcomes of Patients Who Underwent Ureterocutaneostomy
Objective: Ureterocutaneostomy (UCS) is a urinary diversion (UD) method which is used rarely in a carefully selected patient group. In this study, we aimed to present the data and long-term outcomes of patients who underwent UCS treatment in our clinic. Materials and Methods: A total of 36 patients...
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Published in | Üroonkoloji bülteni Vol. 17; no. 2; pp. 54 - 58 |
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Main Authors | , , , |
Format | Journal Article |
Language | English Turkish |
Published |
Istanbul
Üroonkoloji Derneği
01.06.2018
Galenos Publishing House |
Subjects | |
Online Access | Get full text |
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Summary: | Objective: Ureterocutaneostomy (UCS) is a urinary diversion (UD) method which is used rarely in a carefully selected patient group. In this study, we
aimed to present the data and long-term outcomes of patients who underwent UCS treatment in our clinic.
Materials and Methods: A total of 36 patients who underwent UCS between January 2000 and December 2017 were included in the study. All
patients had unilateral or bilateral ureteral-skin anastomosis. The demographic data, diagnoses, comorbidities, side of UCS (unilateral-bilateral),
anesthesia method, operation time, and complications of the patients were recorded from the hospital registry system. The complications and survival
status of the patients until the study date were evaluated. The study data were presented as mean (minimum-maximum) and number (percent).
Results: Mean follow-up time was 128.5 (8-192) months. The mean American Society of Anesthesiologists score was 3.25. The patients had significant
comorbidities, mainly hypertension, chronic obstructive pulmonary disease, and coronary artery disease. UCS was performed most frequently after
radical cystectomy due to muscle-invasive bladder tumour (75%) and was usually bilateral (75%). The most common indications for UCS were
significant comorbidities (55%). Only 3 (8.33%) patients developed ureteral-skin anastomosis, 6 (16.66%) patients developed pyelonephritis, and 9
patients died during the follow-up period.
Conclusion: Although UCS is not a first-line UD method, it should still be kept in mind in the 21st century for patients unable to tolerate segment
excision from the gastrointestinal tract and postoperative complications due to comorbidities. |
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ISSN: | 2147-2270 2147-2122 2147-2270 |
DOI: | 10.4274/uob.978 |