Unilateral cutaneous ureterostomy with separate stomata vs ileal conduit after radical cystectomy

Figure 1 Unilateral cutaneous ureterostomy with separate stomata at different stages. A: Two separate small abdominal wall incisions are made on the right lumbar region, with a ridge left in between; B: The two ureters are passed through the incisions separately. Note that the ureters are dilated with large-caliber Nelaton catheters as stents; C: The ureters are secured to the skin, and a skin ridge is seen separating the two stomata; D: The collection bag base is applied to the stomata after main wound closure and fixation of tubal drains on the left abdominal side.

Figure 2 Flowchart of patients who underwent radical cystectomy and urinary diversion. It shows the flow of patients who received either an ileal conduit or a unilateral cutaneous ureterostomy with separate stomata.

Figure 3 Kaplan-Meier survival analysis, using the Log-Rank test. In comparison to the cutaneous ureterostomy with separate stomata, the ileal conduit was associated with a better survival rate. Owing to the major limitations in this study, these survival analyses should be cautiously handled as an exploratory work.