ureterostomy


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Related to ureterostomy: cutaneous ureterostomy

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.

u·re·ter·os·to·my

(yū-rē'tĕr-os'tŏ-mē),
Establishment of an external opening into the ureter.
[uretero- + G. stoma, mouth]

ureterostomy

(yo͝o-rē′tə-rŏs′tə-mē)
n.
Surgical establishment of an external opening into the ureter.
References in periodicals archive ?
Alexis Bookwalter ASA, SD 2.7 0.5 2.8 0.4 EBL (mL), SD 386 241 375 157 OR time (min), SD 219 42 246 60 Diversion Radical cystectomy/IC 92 97% 66 90% Radical cystectomy/neobladder 1 1% 5 7% Radical cystectomy/cutaneous ureterostomy 2 2% 2 3% Median LOS (days) 5 6 SSI <30 days 3 3% 8 11% 30-60 days 1 1% 1 1% p value ASA, SD 0.034 *** EBL (mL), SD 0.77 * OR time (min), SD 0.0004 * Diversion Radical cystectomy/IC 0.82 ** Radical cystectomy/neobladder 0.11 ** Radical cystectomy/cutaneous ureterostomy 1.00 ** Median LOS (days) 0.027 *** SSI <30 days 0.092 ** 30-60 days 1.00 **
Severely affected infants usually do not survive the neonatal period; however, those who do will most likely need to be urologically diverted in the form a vesicostomy or ureterostomy in order to provide optimal urinary drainage.
The patient underwent radical cystectomy, urethrectomy, and bilateral umbilical cutaneous ureterostomy construction.
The surgical technique of umbilical tubeless cutaneous ureterostomy was conducted as follows.
Because transureteral dilation failed to resolve the stenosis, a 6 French splint catheter was reinserted by left ureterostomy. After 3 years of follow-up, no tumour recurrence was observed and acceptable renal function was maintained (serum creatinine [sCre] 1.10 mg/ dL) without hydronephrosis.
A 65-year-old woman with no major medical history underwent radical cystectomy and bilateral umbilical cutaneous ureterostomy for bladder CIS with bilateral invasion of the lower ureters.
An 83-year-old male without no major comorbidity underwent laparoscopic radical cystectomy and umbilical cutaneous ureterostomy construction for a contracted bladder induced by intravesical pirarubicin therapy and right lower ureteral carcinoma.
The bilateral umbilical cutaneous ureterostomy was constructed as described in Case 1.
The simplest alternative for permanent urinary diversion was cutaneous ureterostomy.
Several surgical treatments can be performed, such as incontinent urinary diversion (ureterostomy), ileal conduit, and continent colonic reservoir.
For this reason, in these patients it is essential to preserve renal function in the postnatal stage, in the form of noncontinent diversions, such as cutaneous ureterostomy and ileal conduit.
She experienced urinary incontinence throughout her childhood and it was not until she was 26 that a ureterostomy was completed.