Kihl B, Bratt C G
Br J Urol. 1981 Aug;53(4):349-52. doi: 10.1111/j.1464-410x.1981.tb03195.x.
Bilateral ureteric obstruction from prostatic carcinoma is not uncommon. A number of techniques for urinary diversion have been used in selected patients when uraemia develops. Reimplantation of the ureter(s) as an alternative to urinary diversion has been carried out in 21 patients over a 7-year period. In 6 of these patients bilateral reimplantation was done. In another 6 patients reimplantation of the ureter was not possible and cutaneous ureterostomy was carried out. The overall survival time was 10.6 months. In 13 patients living more than 6 months post-operatively, survival time was 1.8 years. Most patients had severe uraemia and advanced (clinical stage III or IV) prostatic carcinoma. The immediate management of these patients is outlined and the importance should be considered is stress. It is concluded that, whenever possible, ureteric reimplantation should be considered for relieving ureteric obstruction in patients selected for active treatment.
前列腺癌导致的双侧输尿管梗阻并不少见。当出现尿毒症时，一些尿流改道技术已应用于部分患者。在7年时间里，21例患者接受了输尿管再植术作为尿流改道的替代方法。其中6例患者进行了双侧再植术。另外6例患者无法进行输尿管再植术，于是实施了皮肤输尿管造口术。总体生存时间为10.6个月。13例术后存活超过6个月的患者，生存时间为1.8年。大多数患者患有严重尿毒症和晚期（临床分期III或IV期）前列腺癌。概述了这些患者的即刻处理方法，并强调了应予以重视的要点。得出的结论是，对于选择积极治疗的患者，只要有可能，应考虑进行输尿管再植术以缓解输尿管梗阻。
