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Outcomes of right colon continent urinary pouch using standardized reporting methods
Jeremy B Myers1, Christopher Martin1, Philip J Cheng1
1Division of Urology, Department of Surgery, University of Utah, Salt Lake City, Utah.
Neurourology and Urodynamics
|March 23, 2019
Summary
Right colon pouch urinary diversion has high complication and reoperation rates. Diabetes, higher BMI, and prior surgery may increase risks, but the rarity of this procedure limits definitive conclusions.
Area of Science:
- Urology
- Surgical Oncology
- Reconstructive Surgery
Background:
- Right colon pouch urinary diversion is a complex procedure with variable reported complication and reoperation rates.
- Existing literature lacks clarity on patient-specific factors influencing outcomes after this surgery.
Purpose of the Study:
- To investigate the impact of patient-specific factors on complications, readmission, and reoperation following right colon pouch urinary diversion.
Main Methods:
- Retrospective analysis of 53 patients undergoing right colon pouch urinary diversion between January 2010 and April 2017.
- Outcomes assessed: high-grade complications (Clavien-Dindo grade ≥3), 90-day readmission, and any reoperation.
- Patient factors analyzed for association with outcomes.
Main Results:
- High-grade complications occurred in 22% and readmission in 45% within 90 days.
- Cumulative reoperation rate was 53%, with 32% being major reoperations.
- Diabetes correlated with increased complications and reoperation; higher BMI and prior abdominal surgery linked to readmission.
Conclusions:
- Right colon pouch urinary diversion is associated with substantial postoperative complications, readmissions, and reoperations.
- While diabetes, BMI, and prior surgery show associations, the procedure's rarity limits definitive risk factor identification.
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