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Is bowel preparation required before cystoplasty in children?
Mohan S Gundeti1, Prasad P Godbole, Duncan T Wilcox
1Evelina Children's Hospital (Guy's and St. Thomas') and Great Ormond Street Hospital for Children, NHS Trust, London, United Kingdom. gundemoh@aol.com
The Journal of Urology
|September 6, 2006
Summary
Routine bowel preparation is not necessary before augmentation cystoplasty in children. This study found no significant differences in outcomes or complications between children who received bowel preparation and those who did not.
Area of Science:
- Pediatric Urology
- Surgical Oncology
- Gastroenterology
Background:
- Augmentation cystoplasty is a surgical procedure to increase bladder capacity.
- The necessity of bowel preparation prior to this procedure in pediatric patients remains debated.
Purpose of the Study:
- To evaluate the requirement of bowel preparation before augmentation cystoplasty in pediatric patients.
Main Methods:
- A comparative study of 46 children undergoing augmentation cystoplasty.
- Group 1: standard mechanical bowel preparation. Group 2: no bowel preparation.
- Outcomes measured: hospital stay, time to fluids, urinary tract infection (UTI), and wound infection rates.
Main Results:
- No significant differences in hospital stay or time to commencing fluids between groups.
- Similar low rates of postoperative urinary tract infections and wound infections in both groups.
Conclusions:
- Bowel preparation is unnecessary for children undergoing augmentation cystoplasty.
- The findings suggest that omitting bowel preparation does not increase postoperative complications.
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