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[Incontinent urinary diversion].

M Kuroda1, O Maeda, S Saiki

  • 1Department of Urology, Center for Adult Diseases, Osaka.

Hinyokika Kiyo. Acta Urologica Japonica
|December 1, 1991
PubMed
Summary
This summary is machine-generated.

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This study compared ileal conduit urinary diversion and cutaneous ureterostomy after cystectomy. Ileal conduit had higher early complication rates, particularly wound and intestinal issues, while both had similar late complication rates.

Area of Science:

  • Urology
  • Surgical Oncology
  • Medical Device Analysis

Context:

  • Total cystectomy is a major surgical procedure for bladder cancer.
  • Urinary diversion is necessary after cystectomy to manage urine flow.
  • Ileal conduit and cutaneous ureterostomy are common urinary diversion techniques.

Purpose:

  • To compare the early and late complication rates of ileal conduit urinary diversion versus cutaneous ureterostomy following total cystectomy.
  • To identify specific types and frequencies of complications associated with each diversion method.

Summary:

  • A retrospective analysis of 237 patients undergoing total cystectomy with either ileal conduit (188 patients) or cutaneous ureterostomy (49 patients) was performed.
  • No 30-day mortality was observed. Two ileal conduit patients died within 2 months from postoperative complications.

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  • Early complication rates were 50% for ileal conduit and 37% for ureterostomy. Late complication rates were 45% for ileal conduit and 47% for ureterostomy.
  • Frequent early ileal conduit complications included wound infection (29%) and intestinal issues (13%). Frequent late complications for ileal conduit were stomal issues (26%) and upper urinary tract complications (14%).

    • Impact:

    • Findings highlight the higher incidence of early complications with ileal conduit urinary diversion.
    • Provides valuable data for surgeons and patients in selecting the optimal urinary diversion technique post-cystectomy.
    • Informs patient counseling regarding potential risks and management strategies for both early and late complications.