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Retroperitoneoscopic ureterocutaneostomy as a method of urinary diversion in case of complicated urinary fistula after radiotherapy.

Słojewski M, Torbé B - Cent European J Urol (2011)

Bottom Line: The technical aspects of the procedure are described.The interdisciplinary character of this not so rare problem is underlined.In our opinion this kind of procedure may be considered as a valuable alternative for commonly used methods of urine deviation.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology and Urological Oncology, Pomeranian Medical University, Szczecin, Poland.

ABSTRACT
The case of 71-year-old woman with massive vesicovaginal and recto-vaginal fistula after radiotherapy treated with bilateral laparoscopic ureterocutaneostomy is presented. A retroperitoneoscopic access was applied. The technical aspects of the procedure are described. The interdisciplinary character of this not so rare problem is underlined. In our opinion this kind of procedure may be considered as a valuable alternative for commonly used methods of urine deviation.

No MeSH data available.


Related in: MedlinePlus

Arrangement of trocars - left side.
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Figure 0001: Arrangement of trocars - left side.

Mentions: She agreed for bilateral retroperitoneoscopic ureterocutaneostomy that was offered to her. In general anesthesia she was placed in left flank position. The retroperitoneal approach with three trocars was created according to the technique that was described previously (Figs. 1 and 2) [3]. The ureter was found and dissected about 6-8 cm below the lower pole of the kidney, then clipped on the distal end and cut. It was implanted into the skin with single sutures in the place were the trocar with camera was previously located then catheterized and secured with urine bags (Fig. 3). The procedure was repeated on the opposite site after changing position of the patient. The local anesthesia was applied to trocar sites after removal of instruments according to our anti-pain policy. No drains were left. The procedures were accomplished without any intraoperative complications. The total operation time was 40 minutes and no blood loss was noticed. Patient was discharged from the hospital on the next day, being completely dry. Three months after operation she is satisfied with the result and confirms that she would choose the same method again.


Retroperitoneoscopic ureterocutaneostomy as a method of urinary diversion in case of complicated urinary fistula after radiotherapy.

Słojewski M, Torbé B - Cent European J Urol (2011)

Arrangement of trocars - left side.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921724&req=5

Figure 0001: Arrangement of trocars - left side.
Mentions: She agreed for bilateral retroperitoneoscopic ureterocutaneostomy that was offered to her. In general anesthesia she was placed in left flank position. The retroperitoneal approach with three trocars was created according to the technique that was described previously (Figs. 1 and 2) [3]. The ureter was found and dissected about 6-8 cm below the lower pole of the kidney, then clipped on the distal end and cut. It was implanted into the skin with single sutures in the place were the trocar with camera was previously located then catheterized and secured with urine bags (Fig. 3). The procedure was repeated on the opposite site after changing position of the patient. The local anesthesia was applied to trocar sites after removal of instruments according to our anti-pain policy. No drains were left. The procedures were accomplished without any intraoperative complications. The total operation time was 40 minutes and no blood loss was noticed. Patient was discharged from the hospital on the next day, being completely dry. Three months after operation she is satisfied with the result and confirms that she would choose the same method again.

Bottom Line: The technical aspects of the procedure are described.The interdisciplinary character of this not so rare problem is underlined.In our opinion this kind of procedure may be considered as a valuable alternative for commonly used methods of urine deviation.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology and Urological Oncology, Pomeranian Medical University, Szczecin, Poland.

ABSTRACT
The case of 71-year-old woman with massive vesicovaginal and recto-vaginal fistula after radiotherapy treated with bilateral laparoscopic ureterocutaneostomy is presented. A retroperitoneoscopic access was applied. The technical aspects of the procedure are described. The interdisciplinary character of this not so rare problem is underlined. In our opinion this kind of procedure may be considered as a valuable alternative for commonly used methods of urine deviation.

No MeSH data available.


Related in: MedlinePlus