Laparoscopic creation of a catheterizable cutaneous ureterovesicostomy

W. R. Strand, E. M. McDougall, F. S. Leach, Terry Devereaux Allen, Margaret S Pearle

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8 Scopus citations

Abstract

Nephrectomy and creation of a cutaneous ureterovesicostomy for intermittent catheterization of the bladder traditionally requires two surgical procedures performed through separate incisions. Herein we report completion of these procedures using a transperitoneal laparoscopic approach, with the ureterovesicostomy stoma created at one of the laparoscopic working ports. The clinical course was remarkable for a shortened postoperative hospitalization (48 hours) with minimal incisional pain, and an excellent long-term result with complete bladder emptying and resolution of urinary infections. Laparoscopic application of the Mitrofanoff principle for creation of a catheterizable cutaneous ureterovesicostomy combines the advantages of both, allowing optimal preservation of ureteral vascularity, minimal morbidity, and efficient bladder evacuation.

Original languageEnglish (US)
Pages (from-to)272-275
Number of pages4
JournalUrology
Volume49
Issue number2
DOIs
StatePublished - Feb 1 1997

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ASJC Scopus subject areas

  • Urology

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