| Routine pouchograms are not necessary after continent urinary diversion. | |
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MedLine Citation:
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PMID: 15028432 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Pouchograms are routinely performed before catheter removal after continent urinary diversion at our institution. Our aim was to determine the necessity of pouchograms based on a review of our experience. METHODS: A retrospective review of patient records and radiographic studies was done for patients undergoing radical cystectomy and continent urinary diversions between 1991 and 2001. RESULTS: Seventy-two patients underwent continent urinary diversion (orthotopic, n = 59; cutaneous, n = 13) during the study period. All underwent pouchogram postoperatively (median 22 days; range 20 to 27). Six patients (8.3%) had a demonstrable radiographic leak; in 5 of the 6 patients, the urine leak was suspected on clinical grounds. Three patients (4.7%) developed urosepsis after pouchogram. CONCLUSIONS: Our findings indicate that routine pouchograms before pouch activation after continent urinary diversion may not be necessary. |
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Authors:
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Murali K Ankem; Ken-Ryu Han; Victor Hartanto; Michael Perrotti; Victor S Decarvalho; Kenneth B Cummings; Robert E Weiss |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Urology Volume: 63 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2004 Mar |
Date Detail:
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Created Date: 2004-03-18 Completed Date: 2004-06-23 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
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Languages: eng Pagination: 435-7 Citation Subset: IM |
Affiliation:
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Division of Urology, Department of Surgery, University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Carcinoma, Squamous Cell / surgery Carcinoma, Transitional Cell / surgery Cecostomy Colon / radiography, surgery Computer Systems Contrast Media Cystectomy Device Removal Diagnostic Tests, Routine* Extravasation of Diagnostic and Therapeutic Materials Female Fluoroscopy* Humans Ileum / radiography, surgery Male Middle Aged Postoperative Care / methods* Retrospective Studies Unnecessary Procedures* Urinary Bladder Neoplasms / surgery Urinary Catheterization Urinary Diversion* Urinary Reservoirs, Continent* |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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