ArticleWorld journal of nephrology2026
Unilateral cutaneous ureterostomy with separate stomata
Article in World journal of nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundUrinary diversion (UD) after radical cystectomy (RC) is a complex surgery that has effects on different patient aspects. The optimal UD method should be technically simple, functionally effective, and socially satisfying. The persistent controversy over the optimal method of UD is the rationale for conducting this study, given the characteristics of the population in our region. Simple UD methods include ureterocutaneous and ileal conduit (IC).
aimTo compare the surgical outcomes and to identify the factors influencing quality-of-life (QoL) after RC with cutaneous ureterostomy (CU) with separate stomata or IC.
methodsA prospective non-randomized study was performed on patients who underwent RC from October 2020 to March 2022. The demographic and clinical characteristics and QoL were compared in patients with IC and unilateral CU with separate stomata. The primary outcome was the difference in the QoL scores between patients with CU (group A) and those with IC (group B). QoL was assessed 6 months after surgery, using the validated Functional Assessment of Cancer Therapy-Bladder questionnaire.
resultsThis study included 32 patients with a median age (range) of 61 (48-83) years and a median (range) body mass index of 23.95 (19.2-30.2) kg/m
conclusionUnilateral CU with separate stomata may be associated with higher rates of postoperative anemia and urinary tract infections. However, IC seems to be associated with better QoL and febrile urinary tract infections. Increased serum creatinine level, recurrent infections, and re-interventions may influence the QoL score. Unilateral CU with separate stomata may still represent an option for patients undergoing RC.
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