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Article
April 1928

A REVIEW OF UROLOGIC SURGERY

Author Affiliations

LOS ANGELES; ROCHESTER, MINN.; ROANOKE, VA.; TORONTO; ANTWERP, BELGIUM; LOS ANGELES

Arch Surg. 1928;16(4):951-978. doi:10.1001/archsurg.1928.01140040146009
Abstract

URETER 

Ureterostomy.  —Papin29 described a method of anterior ureterostomy for exclusion of tuberculous bladder. The lower end of the ureter was freely liberated, sectioned close to the bladder and brought out through the skin near the anterior-superior iliac spine. The ureteral curve should be long in order to avoid kinking. A cutaneomucous suture is not made, but a portion of the ureter is left protruding above the skin; the portion later sloughs off. A ureteral catheter is left in place until complete cicatrization occurs; it should be closely observed and changed if necessary. In one case, Papin put the ureter in a small pocket made of skin; but it was unsatisfactory as considerable scarring occurred. This type of ureterostomy has been performed from one month to twelve years after nephrectomy, and the operation has not caused any deaths. The vesical pain is immediately and completely relieved, and the anterior

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