{
    "abstract": "Cutaneous ureterostomy after radical cystectomy is less preferred compared with other permanent urinary diversions due to bilateral stomas. Single umbilical stoma for bilateral ureterostomy (SUSBU) may be a choice, in this study we reviewed the outcomes of SUSBU in seventeen patients who underwent radical cystectomy.\nThis was a case-series study conducted from April 2016 to Dec 2017. Seventeen male patients with confirmed PT2 bladder urothelial carcinoma who were not suitable for performing conduit or orthotopic urinary diversion, including those with high-risk patients underwent single umbilical stoma for bilateral ureterostomy after radical cystectomy. All patients were prospectively followed up for 24 months \u00b1 2 months, this study was done in a teaching center mainly by senior residents.\nThe mean age of patients was 68.6 \u00b1 6.41 years. The mean length of operation time was 176.7 \u00b1 15.1 minutes (from intubation to extubation from anesthesia). Sixteen patients were diagnosed with PT2 and one patient had a PT4 diagnosis. The decrease in hemoglobin level after surgery was 1.72 mg/dl \u00b1 0.35 and creatinine increased by 0.15 \u00b1 0.05 mg/dl. None of our patients had oliguria. One case developed constipation and no gas passing, with the suspicion of obstruction, underwent abdominal exploration, however, no obstruction or urine leakage was found and the patient was treated conservatively. One patient developed a fever during admission, in which atelectasis was identified as the cause. One patient underwent a second operation because of fascia dehiscence.\nIt seems that this technique is suitable for high-risk patients with acceptable operating time, surgical complications, and fast recovery after the operation and one ureterostomy bag instead of two one's comparing to bilateral cutaneous ureterostomy.",
    "authors": [
        {
            "affiliation": "Urology and Nephrology Research, Center, Shahid Labbafinejad, Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. basiri@unrc.ir.",
            "firstname": "Abbas",
            "initials": "A",
            "lastname": "Basiri"
        },
        {
            "affiliation": "Urology and Nephrology Research, Center, Shahid Labbafinejad, Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. mhsoltani60@gmail.com.",
            "firstname": "Mohammad Hossein",
            "initials": "MH",
            "lastname": "Soltani"
        },
        {
            "affiliation": "Urology and Nephrology Research, Center, Shahid Labbafinejad, Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. silm456@yahoo.com.",
            "firstname": "Nasser",
            "initials": "N",
            "lastname": "Shakhssalim"
        },
        {
            "affiliation": "Urology and Nephrology Research, Center, Shahid Labbafinejad, Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. hamidrezashemshaki@yahoo.com.",
            "firstname": "Hamid Reza",
            "initials": "HR",
            "lastname": "Shemshaki"
        },
        {
            "affiliation": "Urology and Nephrology Research, Center, Shahid Labbafinejad, Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Pouria2012rezvani@gmail.com.",
            "firstname": "Pouria",
            "initials": "P",
            "lastname": "Rezvani"
        },
        {
            "affiliation": "Urology and Nephrology Research, Center, Shahid Labbafinejad, Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. miladbonakdar@gmail.com.",
            "firstname": "Milad",
            "initials": "M",
            "lastname": "Bonakdar Hashemi"
        }
    ],
    "conclusions": "It seems that this technique is suitable for high-risk patients with acceptable operating time, surgical complications, and fast recovery after the operation and one ureterostomy bag instead of two one's comparing to bilateral cutaneous ureterostomy.",
    "copyrights": null,
    "doi": "10.22037/uj.v18i.5857",
    "journal": "Urology journal",
    "keywords": [],
    "methods": null,
    "publication_date": "2021-07-12",
    "pubmed_id": "34247358",
    "results": "The mean age of patients was 68.6 \u00b1 6.41 years. The mean length of operation time was 176.7 \u00b1 15.1 minutes (from intubation to extubation from anesthesia). Sixteen patients were diagnosed with PT2 and one patient had a PT4 diagnosis. The decrease in hemoglobin level after surgery was 1.72 mg/dl \u00b1 0.35 and creatinine increased by 0.15 \u00b1 0.05 mg/dl. None of our patients had oliguria. One case developed constipation and no gas passing, with the suspicion of obstruction, underwent abdominal exploration, however, no obstruction or urine leakage was found and the patient was treated conservatively. One patient developed a fever during admission, in which atelectasis was identified as the cause. One patient underwent a second operation because of fascia dehiscence.",
    "title": "Single Umbilical Stoma for Bilateral Ureterostomy after Radical Cystectomy.",
    "xml": "<Element 'PubmedArticle' at 0x78850483e200>"
}