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 ?
The simplest alternative for permanent urinary diversion was cutaneous ureterostomy.
Tubeless umbilical cutaneous ureterostomy is not indicated for all patients, (3,8) because laparotomy involves a long midline incision, and the central position of the wound makes pouching and patient management difficult.
With bilateral umbilical cutaneous ureterostomy, our success rate of catheter-free outcome (5/6 ureters) was comparable with previous reports with regular cutaneous ureterostomy.
Alternatively, an umbilical cutaneous ureterostomy avoids the long midline scar and reconstruction is easier compared with that in urinary diversions using intestine.
Urinary diversion in high-risk elderly patients: Modified cutaneous ureterostomy or ileal conduit?
Simple technique for improving tubeless cutaneous ureterostomy. Urology 2005;65:1221-5.
Extraperitoneal bilateral tubeless cutaneous ureterostomy with umbilical stoma.
Evaluations for hydronephrosis after the establishment of tubeless cutaneous ureterostomy. Korean J Urol 2013;54:168-71.