Document Detail


Ureteral stents placed at the time of urinary diversion decreases postoperative morbidity.
MedLine Citation:
PMID:  22222169     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the impact of stenting ureteroenteric anastomoses on postoperative stricture rate and gastrointestinal recovery in continent and noncontinent urinary diversions (UDs).
PATIENTS AND METHODS: We retrospectively reviewed the clinical and pathologic data on 192 consecutive patients who underwent a radical cystectomy and UD. Patients received either a continent or noncontinent UD with or without stent placement through the ureteroenteric anastomoses. Stricture rate, gastrointestinal recovery, length of hospital stay, and stricture characteristics were analyzed. Study endpoints were compared between four groups--stented and nonstented continent and stented and nonstented noncontinent UDs.
RESULTS: 36% of patients were stented and 64% were nonstented at the time of UD. Total ureteral stricture rate was 9.9%. There was no statistically significant difference in stricture rate (p = 0.11) or length of hospital stay (p = 0.081) in stented compared to nonstented patients. There was a significantly (p = 0.014) greater rate of ileus in patients who were nonstented in both continent and noncontinent UDs.
CONCLUSION: Stenting of ureteroenteric anastomoses in both continent and noncontinent UD has no effect on postoperative stricture rate, but is associated with lower rates of postoperative ileus.
Authors:
Jeffrey K Mullins; Thomas J Guzzo; Mark W Ball; Phillip M Pierorazio; John Eifler; Thomas W Jarrett; Mark P Schoenberg; Trinity J Bivalacqua
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural     Date:  2012-01-04
Journal Detail:
Title:  Urologia internationalis     Volume:  88     ISSN:  1423-0399     ISO Abbreviation:  Urol. Int.     Publication Date:  2012  
Date Detail:
Created Date:  2012-01-30     Completed Date:  2012-06-06     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  0417373     Medline TA:  Urol Int     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  66-70     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 S. Karger AG, Basel.
Affiliation:
James Buchanan Brady Urological Institute, Department of Urology, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA. jmulli12 @ jhmi.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Chi-Square Distribution
Constriction, Pathologic
Cystectomy* / adverse effects
Female
Humans
Ileus / etiology,  physiopathology,  prevention & control*
Length of Stay
Male
Middle Aged
Recovery of Function
Retrospective Studies
Stents*
Time Factors
Treatment Outcome
Ureter / surgery*
Ureteral Obstruction / etiology,  prevention & control*
Urinary Diversion* / adverse effects
Grant Support
ID/Acronym/Agency:
T32DK007552/DK/NIDDK NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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