PD9-10 TIMING OF URETERAL STENT REMOVAL AND POSTOPERATIVE COMPLICATIONS FOLLOWING RADICAL CYSTECTOMY WITH URINARY DIVERSION

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Justin Matulay ◽  
Christopher Sayegh ◽  
Julia Finkelstein ◽  
Mark Silva ◽  
G. Joel DeCastro
Keyword(s):  
Postoperative Complications ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Ureteral Stent ◽  
Stent Removal

scholarly journals The forgotten stent: late complication in a patient with neobladder

2006 ◽  
Vol 6 ◽  
pp. 410-412 ◽  
Author(s):  
Riccardo Autorino ◽  
Antonio Maschio ◽  
Umberto Pane ◽  
Marco De Sio ◽  
Luca Cosentino ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
Late Complication ◽  
Ureteral Stent ◽  
Stent Removal ◽  
Forgotten Stent

Encrustation constitutes a serious complication of ureteral stent use and can result in difficult stent removal. We report the case of a patient with a retained ureteral stent for 3 years following a radical cystectomy.

scholarly journals Risk factors of postoperative complications after radical cystectomy with continent or conduit urinary diversion in Armenia

SpringerPlus ◽  
2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Arman Tsaturyan ◽  
Varduhi Petrosyan ◽  
Byron Crape ◽  
Yeva Sahakyan ◽  
Lusine Abrahamyan
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Radical Cystectomy ◽  
Urinary Diversion

scholarly journals Updated assessment of neoblader utilization and morbidity according to urinary diversion after radical cystectomy: A contemporary US-population-based cohort

2013 ◽  
Vol 7 (9-10) ◽  
pp. 552 ◽  
Author(s):  
Florian Roghmann ◽  
Andreas Becker ◽  
Quoc-Dien Trinh ◽  
Orchidee Djahagirian ◽  
Zhe Tian ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
High Volume ◽  
Sociodemographic Factors ◽  
Population Based ◽  
Morbidity And Mortality ◽  
Utilization Rate ◽  
Prolonged Length ◽  
To Receive

Background: In this paper, we examine contemporary utilization rates and determinants of neobladder (NB) after radical cystectomy (RC) relative to ileal conduit (IC), as well as provide an updated assessment of postoperative morbidity and mortality between NB and IC.Methods: Relying on the Nationwide Inpatient Sample (NIS), we abstracted patients who underwent RC between 2000 and 2010. Subsequently, NB and IC recipients were identified. Use of NB was assessed after accounting for case-mix. Propensity-based matched analyses were used to account for treatment selection biases. Generalized linear regression analyses focused on intra- and postoperative complications, prolonged length of stay, blood transfusions and in-hospital mortality.Results: The utilization rate of NB was 6.9% in 2000 and 9.1% in 2010 (p < 0.001). Younger, healthier, privately-insured and wealthier male individuals were more likely to receive a NB. High-volume hospitals were more likely to offer NB. In the post-propensity matched cohort, urinary diversion type failed to be significantly associated with the examined endpoints, except for intra- and postoperative complications (IC vs. NB odds ratio [OR]:1.15, p = 0.04).Interpretation: Despite comparable morbidity and mortality odds between NB and IC, as of the most contemporary year of the study (2010), IC remains the preferred urinary diversion type. Several sociodemographic factors were associated with NB.

scholarly journals Incidence and microbiology of post-operative infections after radical cystectomy and ureteral stent removal; a retrospective cohort study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
E. Kolwijck ◽  
A. E. M. Seegers ◽  
S. C. M. Tops ◽  
A. G. van der Heijden ◽  
J. P. M. Sedelaar ◽  
...  
Keyword(s):  
Cohort Study ◽  
Radical Cystectomy ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Ureteral Stent ◽  
Stent Removal

Decreasing ureteral stent duration following radical cystectomy decreases readmissions and urinary infectious complications.

2019 ◽  
Vol 37 (7_suppl) ◽  
pp. 366-366 ◽  
Author(s):  
Hamza Mustafa Beano ◽  
Jiaxian He ◽  
Caitlin Hensel ◽  
William Mills Worrilow ◽  
Kris E Gaston ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
Final Analysis ◽  
Infectious Complications ◽  
Ureteral Stent ◽  
P Value ◽  
Chi Square ◽  
Stent Removal ◽  
Urinary Infections ◽  
Tertiary Center ◽  
Removal Group

366 Background: Readmission following Radical Cystectomy with Urinary Diversion (RCUD) is often related to Urinary Tract Infection (UTI). We hypothesized that decreasing the duration of ureteral stenting postoperatively would decrease UTI-related complications without affecting ureteroenteric stenosis (UES) rates. Methods: We analyzed a prospectively and retrospectively collected dataset for cystectomy patients at our tertiary center. Adult patient who underwent RCUD for malignancy from January 2013-January 2018 were included. Patients with a history of abdominal/pelvic radiation and continent diversions were excluded. The patient population was divided to Late stent removal group (LSR- POD 14) and early stent removal group (ESR- POD 4). Statistical methods included t-test, chi-square test and multivariate logistic regression. Results: 177 patients were included in the final analysis after inclusion/exclusion criteria were applied. The LSR (n=75) and ESR (n=102) groups were similar in preoperative characteristics except higher intracorporeal ileal conduit formation in ESR. The LSR had higher 90-day overall readmission rates (OR=2.26, 95% CI;1.13,4.51, p-value=0.021), UTI-related readmissions (OR=3.05, 95% CI:1.32,7.04, p-value=0.010) and UAE (OR=3.02, 95%CI;1.47,6.18, p-value=0.003). Conclusions: Shorter ureteral stent duration following RCUD is associated with decreased readmissions and urinary infections complications without concurrent increase in UES. Strong consideration should be directed towards early stent removal. [Table: see text]

scholarly journals Predictors of postoperative complications after robot-assisted radical cystectomy with extracorporeal urinary diversion

2019 ◽  
Vol Volume 11 ◽  
pp. 5055-5063 ◽  
Author(s):  
Chung Un Lee ◽  
Minyong Kang ◽  
Tae Jin Kim ◽  
Jun Phil Na ◽  
Hyun Hwan Sung ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Robot Assisted

scholarly journals Comparing the outcome of ileal conduit and transuretero-cutaneostomy urinary diversion after radical cystectomy: a retrospective cohort study

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Said Alfin Khalilullah ◽  
Untung Tranggono ◽  
Ahmad Zulfan Hendri ◽  
R. Danarto
Keyword(s):  
Postoperative Complications ◽  
Length Of Stay ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Operative Time ◽  
Ileal Conduit ◽  
Multivariable Logistic Regression Analysis ◽  
Complication Rates ◽  
Advantages And Disadvantages ◽  
Stoma Stenosis

Abstract Background Most of the outcomes after radical cystectomy (RC) are directly associated with the type of urinary diversion. This study sets out to evaluate the outcomes of ileal conduit (IC) and transuretero-cutaneostomy (TUC) urinary diversion after RC. Methods This retrospective study included 52 patients (IC, n = 30; TUC, n = 22) at Dr. Sardjito Hospital between January 2014 and December 2019. The clinical outcomes were compared using Chi-squared tests and independent t tests. Multivariable logistic regression analysis was performed to determine the odds of developing related complications. Results Demographically, both groups were similar in terms of age, gender, ASA score, staging, body mass index, and comorbidities. IC was associated with a high incidence of postoperative complications than TUC (56.7% vs. 27.3%; p = 0.035). Long-term postoperative complications stoma stenosis was more common in the TUC than IC (p = 0.010). Multivariate analysis showed TUC was a significant predictor for stoma stenotic with odds ratio of 1.29 (95% confidence interval, 1.03–1.62; p = 0.006). Meanwhile, metabolic change was found higher in IC (p = 0.047). No difference between the rate of required blood transfusion, postoperative ileus, re-operation, and anastomotic stricture in both groups. Operative time (p = 0.000) and length of stay (p = 0.002) were lower in patients who underwent TUC. The hospitalized cost was also lower in TUC ($ 2311.8 ± 1448 for IC vs. $ 1844.2 ± 948.8 for TUC; p = 0.005). Nonetheless, the follow-up cost was higher in the TUC but not statistically significant. Additionally, there was no difference between the overall satisfaction and diversion-related symptoms scores in both groups. The psychological score was better in IC groups. Conclusions Both of these techniques can be an option in a urinary diversion after RC with various advantages and disadvantages. TUC provides reduced complication rates, operative time, shorter length of stay, and hospitalized costs, but IC may reduce postoperative stoma stenosis complications and better psychological function.

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