Perioperative outcomes evaluated included estimated blood loss (EBL), operative time (OR time), type of urinary diversion performed (ileal conduit, orthotopic neobladder, or cutaneous ureterostomy
), intraoperative complications, length of stay (LOS), and SSI stratified by time of presentation.
Although cutaneous ureterostomy is less preferred compared with other permanent urinary diversions, it is more appropriate for urinary diversion in elderly patients, patients with poor performance status, and when an intestinal segment cannot be used to form the internal reservoir.
The patient underwent radical cystectomy, urethrectomy, and bilateral umbilical cutaneous ureterostomy construction.
The surgical technique of umbilical tubeless cutaneous ureterostomy was conducted as follows.
A 65-year-old woman with no major medical history underwent radical cystectomy and bilateral umbilical cutaneous ureterostomy for bladder CIS with bilateral invasion of the lower ureters.
An 83-year-old male without no major comorbidity underwent laparoscopic radical cystectomy and umbilical cutaneous ureterostomy construction for a contracted bladder induced by intravesical pirarubicin therapy and right lower ureteral carcinoma.
The bilateral umbilical cutaneous ureterostomy was constructed as described in Case 1.