URETEROCUTANEOUS ANASTOMOSIS WITHOUT THE USE OF CATHETERS

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Abstract
•Cutaneous ureterostomies were made necessary in 22 patients by vesical carcinoma and other diseases of the lower urinary tract. The ureterostomy incision for the technique here described was usually 5 cm. medial and superior to the anterior superior iliacspine. The operation was done in two stages. Ipsilateral transplantation was done as the first stage; contralateral transplantation plus the other required surgery on the bladder or kidney was done as the second stage. It was essential to observe certain precautions as to the handling of the ureter and the site of the stoma; a temporary indwelling catheter was used to prevent leakage of urine and wetting of the surrounding tissues. Analysis of nine cases of fair or poor results showed that the primary cause of trouble was necrosis and retraction at the end of the ureter. Experience with 13 cases with satisfactory results showed that the catheter can be removed after 12 to 14 days and that normal renal function can be maintained over a period of years thereafter.

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