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CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2020; 12(03): 223-226
DOI: 10.4103/ijmbs.ijmbs_50_20
Case Report

Urinary diversion in patients with muscle-invasive bladder cancer and severe ureteral stricture: A case report of a new surgical technique

Francesco Chiancone
1   Department of Urology, AORN, Antonio Cardarelli Hospital, Naples, Italy
,
Marco Fabiano
1   Department of Urology, AORN, Antonio Cardarelli Hospital, Naples, Italy
,
Paolo Fedelini
1   Department of Urology, AORN, Antonio Cardarelli Hospital, Naples, Italy
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The use of an ileal segment has been previously described in the treatment of long-segment ureteral strictures. The aim of this study was to describe the use of a skin and muscle flap tube as an alternative procedure to perform ureterocutaneostomy in patients who are not eligible for the use of bowel segments in the urinary diversion or when the patients are at high risk of morbidity and mortality. We describe the case of a 74-year-old male patient. The technique was performed without complications and complete recovery of the patient. No anastomotic leaks and stenosis were reported at a follow-up of 36 months. The use of a skin and muscle flap tube can be a feasible and safe procedure in case of huge loss of tissue (long-segment ureteral strictures), in patients whose underwent radical cystectomy with UCS, in particular when the patients are not eligible for the use of bowel segments in the urinary diversion or when the patients are at high risk of morbidity and mortality.

Key-words:

Bladder cancer - skin flap - stoma - ureteral stricture - ureterocutaneostomy

Financial support and sponsorship

Nil.




Publication History

Received: 02 May 2020

Accepted: 11 July 2020

Article published online:
14 July 2022

© 2020. The Libyan Authority of Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is given appropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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