Cutaneous urostomies

Case contributed by Ian Bickle


Abdominal pain. Prior urological surgery overseas several years ago.

Patient Data

Age: 50 years
Gender: Male

Total cystectomy. Bilateral non obstructed cutaneous urostomies.

Rectal anastomoses.

No recurrent disease in the pelvis.

Extensive multifocal cortical atrophy in both kidneys. The right kidney is considerably more atrophic than the left.

The remainder of the solid organs are unremarkable.  No adrenal or peritoneal nodules. 

No infradiaphragmatic lymphadenopathy. No sinister focal bone lesion.

Small non-obstructed left spigelian hernia.

Comment: No recurrent disease or urinary tract obstruction

Case Discussion

Cutaneous urostomies are very uncommon in contemporary medicine.    An ileal conduit is the typical form of urinary diversion.


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