Abstract
Urinary diversion is often necessary to control urinary fistulae and leaks caused by complications of ileal conduits and malignancies. Urinary diversion allows healing of wounds and conduit breakdowns and controls problems of skin breakdown and hygiene. Multiple percutaneous methods have been proposed for temporary or permanent urinary diversion [1 -8]. At our institution, we traditionally have used antegrade or retrograde ureteral stents to bypass the area of breakdown and provide urinary diversion. We evaluated a commercially available percutaneous ureteral occlusion device (Angiomed, Anaheim, CA) that is an olive-shaped silicone device that plugs the ureter, thereby preventing antegrade flow of urine. A nephrostomy catheter is placed in the renal pelvis to provide external urinary drainage. We review our experience with this device.
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