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World J Nephrol. Jun 25, 2026; 15(2): 116524
Published online Jun 25, 2026. doi: 10.5527/wjn.v15.i2.116524
Published online Jun 25, 2026. doi: 10.5527/wjn.v15.i2.116524
Unilateral cutaneous ureterostomy with separate stomata vs ileal conduit after radical cystectomy
Mahmoud Khalil, Mina H Mahdy, Rabea A Gadelkareem, Ahmed Shahat, Mohammed A Shalaby, Mohamed A Zarzour, Department of Urology, Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut 71515, Egypt
Author contributions: Khalil M and Mahdy MH designed the research, collected the data, and wrote the paper; Gadelkareem RA and Shahat A contributed to statistical analysis, literature review, writing, and revision; Zarzour MA and Shalaby MA contributed to literature review, writing, revision, and supervision of the work. All authors approved the paper.
Institutional review board statement: The Ethics Committee of the Faculty of Medicine at Assiut University approved this study, the institutional review board approval No. 17101339.
Clinical trial registration statement: This study was registered in ClinicalTrials: No. NCT04610385, https://clinicaltrials.gov/study/NCT04610385.
Informed consent statement: Informed consent was obtained from all the participants in the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement-checklist of items, and the manuscript was prepared and revised according to the CONSORT 2010 Statement-checklist of items.
Data sharing statement: The data supporting this study are available from the corresponding author on reasonable request.
Corresponding author: Rabea A Gadelkareem, MD, Department of Urology, Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Elgamaa Street, Assiut 71515, Egypt. rabeagad@aun.edu.eg
Received: November 14, 2025
Revised: January 27, 2026
Accepted: March 5, 2026
Published online: June 25, 2026
Processing time: 211 Days and 16.9 Hours
Revised: January 27, 2026
Accepted: March 5, 2026
Published online: June 25, 2026
Processing time: 211 Days and 16.9 Hours
Core Tip
Core Tip: Radical cystectomy mandates a suitable urinary diversion for patients’ functional and sociocultural capabilities. The current exploratory study compared the cutaneous ureterostomy (CU) with separate stomata and the ileal conduit. CU was associated with higher rates of postoperative anemia and urinary tract infections. However, the ileal conduit seemed to be associated with better quality of life scores and survival rates. Increased serum creatinine level, recurrent urinary tract infections, and re-interventions influenced the quality of life score. In low-resource settings, unilateral CU with separate stomata may represent a viable option for urinary diversion after radical cystectomy.