A new technique for catheterless cutaneous ureterostomy.

A new technique for cutaneous ureterostomy is described. Essential conditions for the successful avoidance of stomal stenosis are the firm fixation of the anastomosis to the skin and healing by first intention. Nipple formation is not an absolute must. In order to fulfill these requirements I devised a new technique in which the distal end of the ureter is cut longitudinally to make a fish-mouth-like opening and each separated ureteral segment is sutured to the corresponding skin area. This area is deprived of its epidermis and dermis. Results of the technique have been satisfactory to date.