cutaneous ureterostomy


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ureterostomy

 [u-re″ter-os´tah-me]
creation of a new outlet for a ureter.
cutaneous ureterostomy a type of urinary diversion in which one or both ureters are detached from the bladder and brought through the abdominal wall to form a stoma. A collection pouch fitted with a belt is then worn snugly against the abdomen and over the “ureteral buds” or stomas to collect the urine as it passes through the ureters.



Indications for ureterostomy include malignancy or trauma that necessitates removal of the bladder, congenital defect or absence of portions of the urinary tract, and neurogenic bladder in which other devices for the collection of urine have proved unsatisfactory.

Patient care is similar to that for any patient with a diversion of urinary flow and is primarily concerned with teaching the patient how to care for the appliance and avoid complications arising from the creation of the stoma. See also ileal conduit.
Cutaneous ureterostomy. From Lammon et al., 1995.

cu·ta·ne·ous u·re·ter·os·to·my

a stoma constructed of ureter at skin level for drainage of urine, usually performed because of distal obstruction; may be an end stoma or a loop stoma.

cutaneous ureterostomy

Surgical implantation of the ureter into the skin. This allows urine to drain via the ureter to the outside of the body by going through the stoma.
See also: ureterostomy
References in periodicals archive ?
In such cases, the usual site of cutaneous ureterostomy (lower quadrant of the abdominal wall) may be too remote to achieve a catheter-free state.
Alternatively, an umbilical cutaneous ureterostomy avoids the long midline scar and reconstruction is easier compared with that in urinary diversions using intestine.
The decision to perform umbilical cutaneous ureterostomy must be cautiously taken by weighing the pros and cons for each patient, as an alternative and not a recommendation.
This small case series supports tubeless umbilical cutaneous ureterostomy as an alternative procedure for urinary diversion in patients with short ureters and at high risk of UUT recurrence after cystectomy.
Urinary diversion in high-risk elderly patients: Modified cutaneous ureterostomy or ileal conduit?
Simple technique for improving tubeless cutaneous ureterostomy.
Extraperitoneal bilateral tubeless cutaneous ureterostomy with umbilical stoma.
Evaluations for hydronephrosis after the establishment of tubeless cutaneous ureterostomy.
Modified technique for improving tubeless cutaneous ureterostomy by Ariyoshi method.