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.
The simplest alternative for permanent urinary diversion was cutaneous ureterostomy.
Tubeless umbilical cutaneous ureterostomy is not indicated for all patients, (3,8) because laparotomy involves a long midline incision, and the central position of the wound makes pouching and patient management difficult.