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Evaluation of mechanical bowel preparation methods in urinary diversion surgery
Allen F Morey1, L Andrew Evans, R Clayton McDonough
1Department of Surgery, Urology Service, Brooke Army Medical Center, Fort Sam Houston, Texas 78234, USA.
The Canadian Journal of Urology
|November 2, 2006
Summary
Polyethylene glycol (PEG) and sodium phosphate (NaP) bowel preparations are equally safe and effective for urinary diversion surgery. Sodium phosphate offers a cost-effective and convenient alternative for mechanical bowel preparation.
Area of Science:
- Urology
- Gastroenterology
- Surgical Preparation
Background:
- Mechanical bowel preparation is crucial before urinary diversion surgery.
- Comparing polyethylene glycol (PEG) and sodium phosphate (NaP) for bowel prep quality and tolerability is essential.
Purpose of the Study:
- To conduct the first prospective, randomized, multi-center trial comparing PEG and NaP for bowel preparation before urinary diversion.
- To assess overall quality and patient tolerability of PEG versus NaP solutions.
Main Methods:
- 36 patients undergoing urological reconstructive surgery were randomized to receive either PEG or NaP.
- Patient tolerability was assessed via questionnaire.
- Surgeons blinded to the preparation method evaluated bowel preparation quality intraoperatively.
Main Results:
- Both PEG and NaP bowel preparations were safe and well-tolerated.
- No statistically significant differences in ease of use, side effects, or overall preparation quality were observed.
- Postoperative complications were infrequent for both agents.
Conclusions:
- Oral sodium phosphate and polyethylene glycol exhibit similar performance characteristics for bowel preparation.
- Both methods are safe, effective, and well-tolerated prior to urinary diversion surgery.
- Sodium phosphate presents a more convenient and economical option.
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