A Technique Which We Should Consider More: Temporary Cutaneous Ureterostomy

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Objective: To evaluate the feasibility, efficacy and complications of cutaneous ureterostomy (CU) in different indications.Materials and Methods: Data from 83 patients who underwent CU between 1991 and 2019 were reviewed retrospectively. Patients with neurogenicbladder, posterior urethral valves, solitary kidney and bilateral kidney involvement were excluded. A total of 53 patients aged <2 years wereincluded in the analysis. Indications to perform CU were ureterovesical junction obstruction (UVJO) and high-grade vesicoureteral reflux (VUR) withdilatation. Ureteroureterostomy or ureteroneocystostomy methods were preferred for undiversion according to the dilatation status of the ureter.Results: The mean patient age was 4.47±3.6 months, 40 (75.5%) were male and 13 (24.5%) were female. The mean follow-up time was 57.4±41.4(6-150) months. Loop and end CU were performed in 18 (34%) and 35 (66%) patients, respectively. The indications for CU were UVJO in 26 (49%)and high-grade VUR in 27 patients. Two (3.7%) patients needed dilatation because of stenosis that occurred after CU. Within the follow-up time,39 patients underwent undiversion. The clinical improvement rate was 94.3%.Conclusion: CU is a simple method with satisfactory results when performed in patients with megaureter and massive dilatation. Despite the lessfrequent use, it is still an important alternative to the increasingly used conservative methods