Tubeless cutaneous ureterostomy: the Toyoda method revisited

Cutaneous ureterostomy is a less invasive method of urinary diversion and an attractive option especially in patients at high risk. We retrospectively examined the long-term outcome of the method introduced by Toyoda. Since 1983 the Toyoda cutaneous ureterostomy has been performed in 61 patients (10...

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Bibliographic Details
Published inThe Journal of urology Vol. 165; no. 3; p. 785
Main Authors Yoshimura, K, Maekawa, S, Ichioka, K, Terada, N, Matsuta, Y, Okubo, K, Arai, Y
Format Journal Article
LanguageEnglish
Published United States 01.03.2001
Subjects
Adult
Aged
Aged, 80 and over
Female
Follow-Up Studies
Humans
Male
Middle Aged
Retrospective Studies
Time Factors
Ureterostomy - methods
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Summary:Cutaneous ureterostomy is a less invasive method of urinary diversion and an attractive option especially in patients at high risk. We retrospectively examined the long-term outcome of the method introduced by Toyoda. Since 1983 the Toyoda cutaneous ureterostomy has been performed in 61 patients (103 renal units) with a minimum of 3 months of followup. The ureteral patency rate was reviewed. Of the 92 renal units (89%) that achieved a tubeless condition 53 (51%) had no hydronephrosis, 23 (22%) had mild to moderate hydronephrosis without the need for treatment, 14 (14%) were not evaluated during followup and 2 (2%) were removed due to subsequent renal pelvic and/or ureteral carcinoma. A high ureteral patency rate was achieved with the Toyoda cutaneous ureterostomy. This procedure is a reasonable alternative to other forms of urinary diversion.
ISSN:0022-5347
1527-3792
DOI:10.1016/S0022-5347(05)66526-3