Subcutaneous urinary diversion utilizing a nephrovesical stent: A superior alternative to long-term external drainage?
The use of external percutaneous nephrostomy drainage in patients with end-stage ureteral obstruction in whom ureteral stenting has failed presents significant compromises in the patient's quality of life. Toward this end, we present the initial experience in the United States with an intracorp...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 1995-03, Vol.45 (3), p.538-541 |
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| container_title | Urology (Ridgewood, N.J.) |
| container_volume | 45 |
| creator | Nakada, Stephen Y. Gerber, Adam J. Stuart Wolf, J. Hicks, Marshall E. Picus, Daniel Clayman, Ralph V. |
| description | The use of external percutaneous nephrostomy drainage in patients with end-stage ureteral obstruction in whom ureteral stenting has failed presents significant compromises in the patient's quality of life. Toward this end, we present the initial experience in the United States with an intracorporeal nephrovesical stent.
We performed successful subcutaneous urinary diversion in 2 patients with malignant, metastatic periureteral obstruction. Both patients had previously been managed with a chronic percutaneous nephrostomy that was both painful and inconvenient. The nephrovesical stent was inserted utilizing percutaneous access to both the kidney and bladder followed by creation of a subcutaneous tunnel between the two sites.
The nephrovesical stents are patent at 6 and 9 weeks postoperatively and both patients have had their nephrostomy tubes removed. Both patients have noted a marked improvement in their overall comfort and quality of life since the stent has been in place.
Subcutaneous urinary diversion with a nephrovesical stent provides effective urinary drainage and may improve the quality of life of patients with malignant metastatic ureteral obstruction. Further long-term studies are needed. |
| doi_str_mv | 10.1016/S0090-4295(99)80033-8 |
| format | Article |
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We performed successful subcutaneous urinary diversion in 2 patients with malignant, metastatic periureteral obstruction. Both patients had previously been managed with a chronic percutaneous nephrostomy that was both painful and inconvenient. The nephrovesical stent was inserted utilizing percutaneous access to both the kidney and bladder followed by creation of a subcutaneous tunnel between the two sites.
The nephrovesical stents are patent at 6 and 9 weeks postoperatively and both patients have had their nephrostomy tubes removed. Both patients have noted a marked improvement in their overall comfort and quality of life since the stent has been in place.
Subcutaneous urinary diversion with a nephrovesical stent provides effective urinary drainage and may improve the quality of life of patients with malignant metastatic ureteral obstruction. Further long-term studies are needed.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/S0090-4295(99)80033-8</identifier><identifier>PMID: 7879349</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Diseases of the urinary system ; Drainage ; Female ; Humans ; Medical sciences ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Stents ; Time Factors ; Ureteral Obstruction - surgery ; Urinary Diversion - instrumentation ; Urinary Diversion - methods</subject><ispartof>Urology (Ridgewood, N.J.), 1995-03, Vol.45 (3), p.538-541</ispartof><rights>1995</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-28e288808583c6077775e13a5fc93292c3727f75b004a75db183447b767f20663</citedby><cites>FETCH-LOGICAL-c389t-28e288808583c6077775e13a5fc93292c3727f75b004a75db183447b767f20663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0090429599800338$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3467319$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7879349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakada, Stephen Y.</creatorcontrib><creatorcontrib>Gerber, Adam J.</creatorcontrib><creatorcontrib>Stuart Wolf, J.</creatorcontrib><creatorcontrib>Hicks, Marshall E.</creatorcontrib><creatorcontrib>Picus, Daniel</creatorcontrib><creatorcontrib>Clayman, Ralph V.</creatorcontrib><title>Subcutaneous urinary diversion utilizing a nephrovesical stent: A superior alternative to long-term external drainage?</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>The use of external percutaneous nephrostomy drainage in patients with end-stage ureteral obstruction in whom ureteral stenting has failed presents significant compromises in the patient's quality of life. Toward this end, we present the initial experience in the United States with an intracorporeal nephrovesical stent.
We performed successful subcutaneous urinary diversion in 2 patients with malignant, metastatic periureteral obstruction. Both patients had previously been managed with a chronic percutaneous nephrostomy that was both painful and inconvenient. The nephrovesical stent was inserted utilizing percutaneous access to both the kidney and bladder followed by creation of a subcutaneous tunnel between the two sites.
The nephrovesical stents are patent at 6 and 9 weeks postoperatively and both patients have had their nephrostomy tubes removed. Both patients have noted a marked improvement in their overall comfort and quality of life since the stent has been in place.
Subcutaneous urinary diversion with a nephrovesical stent provides effective urinary drainage and may improve the quality of life of patients with malignant metastatic ureteral obstruction. Further long-term studies are needed.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Diseases of the urinary system</subject><subject>Drainage</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Stents</subject><subject>Time Factors</subject><subject>Ureteral Obstruction - surgery</subject><subject>Urinary Diversion - instrumentation</subject><subject>Urinary Diversion - methods</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtuHCEQRVGUyBnb-QRLLCzLXnQCTfPyxrKsvCRLWdhZI5qunhD1wBjokZOvD_PQbMMGiXuKqjoIXVDykRIqPj0RoknTtZpfa32jCGGsUW_QgvJWNlpr_hYtjsh7dJrzb0KIEEKeoBOppGadXqDN09y7udgAcc54Tj7Y9AcPfgMp-xjwXPzk__qwxBYHWP9KcQPZOzvhXCCUW3yP87yG5GPCdiqQgi21GJeIpxiWTX1ZYXjdBRMekq0NlnB3jt6Ndsrw4XCfoZ9fPj8_fGsef3z9_nD_2DimdGlaBa1SiiiumBNE1sOBMstHp1mrW8dkK0fJe0I6K_nQU8W6TvZSyLGtu7IzdLX_d53iywy5mJXPDqZpv7CRkgqhOlVBvgddijknGM06-VV1YSgxW99m59tsZRqtzc632dZdHBrM_QqGY9VBcM0vD7nN1dqYbHA-HzHWCcnoFrvbY1BlbDwkk52H4GDwCVwxQ_T_GeQf6jydlw</recordid><startdate>19950301</startdate><enddate>19950301</enddate><creator>Nakada, Stephen Y.</creator><creator>Gerber, Adam J.</creator><creator>Stuart Wolf, J.</creator><creator>Hicks, Marshall E.</creator><creator>Picus, Daniel</creator><creator>Clayman, Ralph V.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19950301</creationdate><title>Subcutaneous urinary diversion utilizing a nephrovesical stent: A superior alternative to long-term external drainage?</title><author>Nakada, Stephen Y. ; Gerber, Adam J. ; Stuart Wolf, J. ; Hicks, Marshall E. ; Picus, Daniel ; Clayman, Ralph V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-28e288808583c6077775e13a5fc93292c3727f75b004a75db183447b767f20663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Diseases of the urinary system</topic><topic>Drainage</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Stents</topic><topic>Time Factors</topic><topic>Ureteral Obstruction - surgery</topic><topic>Urinary Diversion - instrumentation</topic><topic>Urinary Diversion - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakada, Stephen Y.</creatorcontrib><creatorcontrib>Gerber, Adam J.</creatorcontrib><creatorcontrib>Stuart Wolf, J.</creatorcontrib><creatorcontrib>Hicks, Marshall E.</creatorcontrib><creatorcontrib>Picus, Daniel</creatorcontrib><creatorcontrib>Clayman, Ralph V.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakada, Stephen Y.</au><au>Gerber, Adam J.</au><au>Stuart Wolf, J.</au><au>Hicks, Marshall E.</au><au>Picus, Daniel</au><au>Clayman, Ralph V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subcutaneous urinary diversion utilizing a nephrovesical stent: A superior alternative to long-term external drainage?</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>1995-03-01</date><risdate>1995</risdate><volume>45</volume><issue>3</issue><spage>538</spage><epage>541</epage><pages>538-541</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>The use of external percutaneous nephrostomy drainage in patients with end-stage ureteral obstruction in whom ureteral stenting has failed presents significant compromises in the patient's quality of life. Toward this end, we present the initial experience in the United States with an intracorporeal nephrovesical stent.
We performed successful subcutaneous urinary diversion in 2 patients with malignant, metastatic periureteral obstruction. Both patients had previously been managed with a chronic percutaneous nephrostomy that was both painful and inconvenient. The nephrovesical stent was inserted utilizing percutaneous access to both the kidney and bladder followed by creation of a subcutaneous tunnel between the two sites.
The nephrovesical stents are patent at 6 and 9 weeks postoperatively and both patients have had their nephrostomy tubes removed. Both patients have noted a marked improvement in their overall comfort and quality of life since the stent has been in place.
Subcutaneous urinary diversion with a nephrovesical stent provides effective urinary drainage and may improve the quality of life of patients with malignant metastatic ureteral obstruction. Further long-term studies are needed.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>7879349</pmid><doi>10.1016/S0090-4295(99)80033-8</doi><tpages>4</tpages></addata></record> |
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| ispartof | Urology (Ridgewood, N.J.), 1995-03, Vol.45 (3), p.538-541 |
| issn | 0090-4295 1527-9995 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Biological and medical sciences Diseases of the urinary system Drainage Female Humans Medical sciences Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Stents Time Factors Ureteral Obstruction - surgery Urinary Diversion - instrumentation Urinary Diversion - methods |
| title | Subcutaneous urinary diversion utilizing a nephrovesical stent: A superior alternative to long-term external drainage? |
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