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Transuretero‐ureterostomy: a review of 253 cases
Author(s) -
Noble J.G.,
Lee K.T.,
Mundy A.R.
Publication year - 1997
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1046/j.1464-410x.1997.02794.x
Subject(s) - ureterostomy , medicine , bladder cancer , cancer , cystectomy
Objectives To review our experience of transuretero‐ureterostomy (TUU), which can be a dangerous procedure if a problem arises with the anastomosis, because both upper urinary tracts are put at risk to deal with a problem that initially affected only one side. Patients and methods TUU was performed in 253 patients following undiversion, trauma or strictures of the distal ureter, with a Mitrofanoff‐type of continent urinary diversion, or otherwise during reconstructive urological surgery, mainly in association with cystectomy and substitution cystoplasty. The patients were followed and complications or problems reviewed. Results Five patients had problems with the distal ureter below the TUU and one had problems as a result of stone disease in the transposed ureter some distance proximal to the TUU, but there were no long‐term complications as a direct result of the TUU. Conclusions Providing the anastomosis is stented until there is radiological evidence of healing of the TUU, then TUU is a safe and reliable procedure.