Archivos espanoles de urologia · 2026
Conversion From Cutaneous Ureterostomy to Ileal Conduit in Frail Patients: A Descriptive Case Series.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Korkes Fernando, Galdino Miellio, Bürger Henrique, Archila Daisy, Santiago José Henrique, Cardoso Morrone Matheus, Marino Matheus, Ishida João
Аннотация
BACKGROUND: Cutaneous ureterostomy is frequently selected for frail patients undergoing radical cystectomy due to its reduced operative complexity. However, long-term complications such as urinary tract infections (UTIs), stomal stenosis, and catheter dependence are common. Delayed conversion to ileal conduit has been proposed as a reconstructive strategy after clinical stabilization.
CASE PRESENTATION: Five frail patients underwent radical cystectomy with cutaneous ureterostomy followed by delayed conversion to ileal conduit. Conversion occurred 10-36 months later due to recurrent complications or improvement in clinical status. Postoperative complications occurred in four patients (80%), including UTIs requiring antibiotics (Clavien-Dindo II), urinary fistula (Clavien-Dindo I), and ureteroileal stricture requiring surgical revision (Clavien-Dindo IIIb).
CONCLUSIONS: Delayed conversion is feasible but is associated with significant morbidity and should remain individualized.
CASE PRESENTATION: Five frail patients underwent radical cystectomy with cutaneous ureterostomy followed by delayed conversion to ileal conduit. Conversion occurred 10-36 months later due to recurrent complications or improvement in clinical status. Postoperative complications occurred in four patients (80%), including UTIs requiring antibiotics (Clavien-Dindo II), urinary fistula (Clavien-Dindo I), and ureteroileal stricture requiring surgical revision (Clavien-Dindo IIIb).
CONCLUSIONS: Delayed conversion is feasible but is associated with significant morbidity and should remain individualized.