Pd21-03 Bowel Complications and Anastomotic Leak After Ileocolic Anastomosis in Urinary Diversion Surgery: A Comparative 12-Year Retrospective Single-Center Study

You have accessJournal of UrologyReconstruction: Augmentation, Substitution, Diversion (PD21)1 May 2024PD21-03 BOWEL COMPLICATIONS AND ANASTOMOTIC LEAK AFTER ILEOCOLIC ANASTOMOSIS IN URINARY DIVERSION SURGERY: A COMPARATIVE 12-YEAR RETROSPECTIVE SINGLE-CENTER STUDY Kiarad Fendereski, Seyedeh Sima Daryabari, Beatriz Sofia Hernandez, Benjamin Mccormick, and Jeremy B. Myers Kiarad FendereskiKiarad Fendereski , Seyedeh Sima DaryabariSeyedeh Sima Daryabari , Beatriz Sofia HernandezBeatriz Sofia Hernandez , Benjamin MccormickBenjamin Mccormick , and Jeremy B. MyersJeremy B. Myers View All Author Informationhttps://doi.org/10.1097/01.JU.0001008888.07102.14.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ileocolic bowel anastomoses may be at higher risk than more common small bowel anastomoses for bowel complications after urinary diversion surgery. Our objective was to report and contrast complications and interventions needs between two urinary diversion surgeries, the right colon pouch (RCP) and continent catheterizable ileal cecocystoplasty (CCIC), with a particular emphasis on bowel-related complications. METHODS: A retrospective chart review was conducted, encompassing all adult patients who underwent RCP or CCIC surgeries between 2010 and 2022. We compared patient characteristics, perioperative variables, and outcomes between patients who received RCP vs CCIC. We used Cox Proportional Hazards analysis to compare bowel-related complications and overall survival. Patients with protective ileostomy were excluded from the model analysis. RESULTS: Our total cohort included 162 patients, with 106 (65.4%) undergoing RCP and 56 (34.6%) undergoing CCIC. The mean age was 55.5 (13.1) years in RCP and 40.3 (14.6) years in CCIC group (p<0.001). The primary reason for diversion in the CCIC group was spinal cord injury in 32 (57.1). In the RCP group, it was radiation injury in 34 (32.1%). In RCP group, there were 46 cases (43.4%) of readmissions within 90 days, whereas the CCIC group had 12 cases (20.7%), (p=0.01). Survival rates were 82.1% in the RCP group, and 87.5% in the CCIC group (p=0.37). We detected 15 cases (14.2%) with bowel complications in the RCP and 4 (7.1%) in the CCIC group (p=0.19). Anastomotic leaks were observed in 6 (5.7%) patients in the RCP and 2 (3.6%) patients in the CCIC group (p=0.56). After adjusting for age and comorbidities, we found no significant difference in the occurrence of bowel complications in the CCIC group vs RCP (HR:1.2, 95% CI: 0.81-1.79; p=0.371). CONCLUSIONS: Despite variations in the underlying causes and patient profiles, our study revealed no significant distinctions between RCP and CCIC in both survival rates and bowel complications throughout a follow-up of over three years. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e453 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Kiarad Fendereski More articles by this author Seyedeh Sima Daryabari More articles by this author Beatriz Sofia Hernandez More articles by this author Benjamin Mccormick More articles by this author Jeremy B. Myers More articles by this author Expand All Advertisement PDF downloadLoading ...