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Venous thromboembolism after urological surgery.

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Deep venous thrombosis and pulmonary embolism are uncommon after urological procedures. Cystectomy/urinary diversion had the highest rates, while laparoscopic colpopexy had the lowest.

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Area of Science:

  • Urology
  • Vascular Surgery
  • Public Health

Background:

  • Deep venous thromboembolism (DVT) and pulmonary embolism (PE) are significant risks following surgical procedures.
  • Understanding the incidence of these events after urological surgery is crucial for patient risk assessment and management.

Purpose of the Study:

  • To determine the rates of deep venous thromboembolism and pulmonary embolism following common urological procedures in the United States.
  • To compare the incidence of DVT and PE across a wide range of urological surgical procedures.

Main Methods:

  • Utilized the National Surgical Quality Improvement Program (NSQIP) database.
  • Included 82,808 patients who underwent common urological procedures between January 1, 2005, and December 31, 2011.
  • Analyzed DVT and PE rates within 30 days of surgery.

Main Results:

  • Overall DVT rate was 0.76% (633/82,808) and PE rate was 0.42% (349/82,808).
  • Cystectomy with urinary diversion exhibited the highest DVT (3.96%) and PE (2.85%) rates.
  • Laparoscopic colpopexy had the lowest DVT rate (0.00%).
  • Independent risk factors for DVT/PE included age >60, poor functional status, disseminated cancer, heart failure, long anesthesia times, and chronic steroid use.

Conclusions:

  • DVT and PE are infrequent complications of urological surgery.
  • This study provides a comprehensive comparison of DVT/PE rates across various urological procedures.
  • Findings enhance understanding of patient-specific risks associated with common urological surgeries.