Surgeon's corner
Cutaneous ureterostomy: Should the issue be revisited?
Publish date: July 1, 2006
Sergio G. Moreira, Jr, MD , John D. Seigne, MB , Raul C. Ordorica, MD , Jorge L. Lockhart, MD
Sergio G. Moreira, Jr, MD , John D. Seigne, MB , Raul C. Ordorica, MD , Jorge L. Lockhart, MD

Many types of urinary diversion have been described for reconstructing the urinary tract in patients after complete cystectomy. A continent urinary diversion procedure—such as creation of an orthotopic neobladder—is considered the preferred alternative in patients who are in good general condition and have a reasonably long life expectancy. In patients who are at high surgical risk or who have a poor prognosis, incontinent urinary diversion with stoma formation is generally considered the preferred alternative because of its simplicity. Incontinent urinary diversion can be performed using bowel interposition (ileal or colon conduit) or by connecting the ureters to the skin (cutaneous ureterostomy).

