Tubeless cutaneous ureterostomy: the Toyoda method revisited |
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Authors: | Yoshimura K Maekawa S Ichioka K Terada N Matsuta Y Okubo K Arai Y |
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Affiliation: | Department of Urology, Kurashiki Central Hospital, Kurashiki, Okayama, Japan. |
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Abstract: | PURPOSE: Cutaneous ureterostomy is a less invasive method of urinary diversion and an attractive option especially in patients at high risk. We retrospectively examined the long-term outcome of the method introduced by Toyoda. MATERIALS AND METHODS: Since 1983 the Toyoda cutaneous ureterostomy has been performed in 61 patients (103 renal units) with a minimum of 3 months of followup. The ureteral patency rate was reviewed. RESULTS: Of the 92 renal units (89%) that achieved a tubeless condition 53 (51%) had no hydronephrosis, 23 (22%) had mild to moderate hydronephrosis without the need for treatment, 14 (14%) were not evaluated during followup and 2 (2%) were removed due to subsequent renal pelvic and/or ureteral carcinoma. CONCLUSIONS: A high ureteral patency rate was achieved with the Toyoda cutaneous ureterostomy. This procedure is a reasonable alternative to other forms of urinary diversion. |
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Keywords: | ureter, ureterostomy surgical procedures, minimally invasive urinary diversion |
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