Nephrovesical subcutaneous ureteric bypass: long-term results in patients with advanced metastatic disease-improvement of renal function and quality of life

European Urology
Joerg SchmidbauerMichael Marberger

Abstract

Placing a percutaneous nephrostomy often is the only and final solution for patients with metastatic disease, where internal ureteral stenting proved to be impossible. Between August 1999 and June 2005, 31 nephrovesical ureteric bypasses were implanted in 28 patients with advanced metastatic disease. The ureteric bypass consists of two subcutaneously connected 12F polyurethane tubes, placed as a nephrostomy and cystostomy. Urinary culture, serum creatinine, quality of life score, and renal ultrasonography were evaluated at follow-up. Mean follow-up was 11.9 mo (range, 2-54 mo). Preoperative hydronephrosis was eliminated in 27 cases (87.1%) and reduced in the remaining four kidneys (12.9%). Preoperative serum creatinine levels (5.9+/-3.2 mg%) decreased significantly postoperatively (1.4+/-0.9 mg%). Mean quality of life score was 3.4+/-1.4 preoperatively and 7.6+/-1.0 postoperatively. In five patients (17.9%) the system had to be replaced due to occlusion at a mean follow-up of 10.2 mo. This nephrovesical ureteric bypass is a simple, minimally invasive, and highly effective treatment for patients with hydronephrosis resulting from advanced oncologic disease. Patients gain a better quality of life due to increased independence and...Continue Reading

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Citations

Dec 4, 2009·Journal of Endourology·Petros SountoulidesNikolaos Sofikitis
Jul 22, 2011·Journal of Endourology·Cécile Olivia MullerFrançois Desgrandchamps
Dec 24, 2011·Journal of Endourology·Justin I FriedlanderArthur D Smith
Sep 9, 2006·European Urology·Michael Marberger
Jun 18, 2010·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·R A AzharS Paraskevas
May 8, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Sammy E ElsamraZeph Okeke
Aug 8, 2014·Journal of Endourology·Stavros I Tyritzis, Nils Peter Wiklund
Dec 3, 2013·Therapeutic Advances in Urology·Stefanos KachrilasJunaid Masood
May 17, 2018·The Journal of Small Animal Practice·D L Clarke
May 22, 2018·The Journal of Small Animal Practice·D L Clarke
Mar 6, 2018·Veterinary Surgery : VS·Lillian R AronsonChloe Wormser
Jun 14, 2008·The Journal of Urology·J Stuart Wolf
Dec 27, 2018·Journal of Endourology·James J Y ChongJonathan Glass
Oct 9, 2019·The Journal of Small Animal Practice·H DirrigZ Halfacree

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