Tubeless cutaneous ureterostomy: The Toyoda method revisited

Koji Yoshimura, Shinya Maekawa, Kentaro Ichioka, Naoki Terada, Yosuke Matsuta, Kazutoshi Okubo, Yoichi Arai

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31 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)785-788
Number of pages4
JournalJournal of Urology
Volume165
Issue number3
DOIs
Publication statusPublished - 2001

Keywords

  • Surgical procedures, minimally invasive
  • Ureter, reterostomy
  • Urinary diversion

ASJC Scopus subject areas

  • Urology

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    Yoshimura, K., Maekawa, S., Ichioka, K., Terada, N., Matsuta, Y., Okubo, K., & Arai, Y. (2001). Tubeless cutaneous ureterostomy: The Toyoda method revisited. Journal of Urology, 165(3), 785-788. https://doi.org/10.1016/S0022-5347(05)66526-3