The surgical technique of subcutaneous renovesical bypass

Abstract

The long-term drainage of the urinary tract of patients with unresectable ureteric stenosis, remains a major challenge for urologists. For decades, researchers experimented with different alternatives to the prosthetic ureter with minimal success. However, these patients are offered a minimally invasive procedure in the form of percutaneous nephrostomy or reconstructive surgery. Percutaneous nephrostomy, although minimally invasive, is far from ideal for long-term use. We report the case of a 43-years-old woman who was followed for obstructive renal failure secondary to locally advanced cervical cancer, for which she has benefited a right JJ stent and left nephrostomy. Renal-bladder bypass was indicated as an alternative to nephrostomy. We report on the established implantation procedure and the experiences collected in our service with the Detour® system in the various application areas.

Keywords

• renal insufficiency
• subcutaneous pyelovesical bypass
• detour.