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Nephrostomy has been the standard method of urinary diversion when placement of ureteral stents has failed in cancer patients. We describe our early experience with an alternative method of urinary diversion, the subcutaneous urinary diversion. This extra-anatomical urinary diversion was done in 5 patients during a 15-month interval. The diversion is created using a specially designed 7F double pigtail stent. The proximal end of the stent is inserted into the renal pelvis via a percutaneous nephrostomy puncture. A subcutaneous tunnel is created from the flank to the bladder down which the distal end of the stent is passed and via a suprapubic bladder puncture the stent is passed into the bladder. The stent is changed at 4-month intervals over a guide wire. Our early experience with this extra-anatomical method of urinary diversion suggests it to be a safe, effective and acceptable alternative to nephrostomy that improves quality of life.
K Lingam, and
P J Paterson, and
M K Lingam, and
J F Buckley, and
A Forrester
September 2006,
Minerva urologica e nefrologica = The Italian journal of urology and nephrology,
K Lingam, and
P J Paterson, and
M K Lingam, and
J F Buckley, and
A Forrester
February 2000,
The Journal of urology,
K Lingam, and
P J Paterson, and
M K Lingam, and
J F Buckley, and
A Forrester
July 2012,
Case reports in nephrology and urology,
K Lingam, and
P J Paterson, and
M K Lingam, and
J F Buckley, and
A Forrester
March 2001,
The Journal of urology,
K Lingam, and
P J Paterson, and
M K Lingam, and
J F Buckley, and
A Forrester
January 2015,
Urology annals,
K Lingam, and
P J Paterson, and
M K Lingam, and
J F Buckley, and
A Forrester
March 1978,
The Journal of the Kansas Medical Society,
K Lingam, and
P J Paterson, and
M K Lingam, and
J F Buckley, and
A Forrester
February 2007,
Journal of endourology,
K Lingam, and
P J Paterson, and
M K Lingam, and
J F Buckley, and
A Forrester
December 1989,
British journal of urology,
K Lingam, and
P J Paterson, and
M K Lingam, and
J F Buckley, and
A Forrester
January 1982,
Infection control & urological care,
K Lingam, and
P J Paterson, and
M K Lingam, and
J F Buckley, and
A Forrester
May 1984,
AORN journal,
