... term survival of transplanted kidneys in patients with a continent urinarydiversion.Between January 1987 and July 2015, 16 patients with a ... range 21-63 years) underwent kidney transplantation on a continent urinarydiversion... All continent urinarydiversions were carried out before the transplantation. There were nine Kock pouches, five Mainz pouches, one Mainz neobladder and one Hautmann neobladder.
AbstractText: To investigate the long-term cumulative incidence of chronic urinary retention (CUR) after radical cystectomy (RC) and orthotopic neobladder (ONB) in women and the possible risk factors AbstractText: We retrospectively analyzed a prospectively evaluated cohort of women for whom RC and ONB were ... Keyword: Urinarydiversion. Keyword: Urinary retention.
To evaluate the effect of perioperative blood transfusion (PBT) on recurrence-free survival (RFS), overall survival ... on 679 patients who underwent RC at 18 European tertiary care centers in 2011... PBT) differed significantly with respect to most clinicopathological features including perioperative blood loss (median: 1000ml; IQR: 600-1500ml vs. median: 500ml ...
Oncology (2) Urinary Bladder Neoplasms (1), Neoplasms (1), more mentions
... a rare and poorly described complication following radical cystectomy with urinarydiversion... history of radiation therapy (OR 3.1, p = 0.03) and orthotopic neobladder (OR 3.1, p = 0.04) were both predictors of fistula formation... rare after radical cystectomy and are most common between the urinarydiversion and small bowel. History of radiation therapy and orthotopic neobladder are risk factors for formation.
Oncology (3) Fistula (8), Urinary Bladder Neoplasms (3), more mentions
To report survival for patients who undergo urinarydiversion for benign indications and to identify risk factors for morbidity ... at 90 days.This is a retrospective review of consecutive urinarydiversions with or without cystectomy for non-oncological indications at a ... The indication for diversion was intractable incontinence, upper tract deterioration, urinary fistula, and unmanageable bladder pain ...
INTRODUCTION: We investigated the prevalence, variables associated with parastomal hernia (PSH), and its outcomes of after robot-assisted radical cystectomy (RARC) and ileal conduit (IC) for bladder cancer.
METHODS: Retrospective review of RARC at our institution was conducted. PSH was defined as protrusion of abdominal contents through the stoma defect in the abdominal wall on cross sectional imaging. PSH was further described in terms of patient and hernia characteristics, symptoms, management and outcomes. Kaplan Meier method was used to depict time to PSH and time to surgery. Multivariate stepwise logistic regression was used to evaluate variables associated with PSH.
RESULTS: 383 patients underwent RARC and IC. 75 patients (20%) had PSH, of whom 23 (31%) were symptomatic and 11 (15 %) underwent treatment. Median time to PSH was 13 months (IQR 9-22). PSH occurred at a rate of 9%, 23% and 32% at 1, 2 and 3 years respectively. Patients with PSH had significantly higher BMI (30 vs 28, p=0.02), longer overall operative time (357 vs 340 min, p=0.01), and higher blood loss (325 vs 250, p=0.04). On Multivariate analysis, operative time (OR 1.25, 95% CI 1.21-3.90, p<0.001), fascial defect ≥30mm (OR 5.23, 95% CI 2.32-11.8, p<0.001) and lower postoperative eGFR (OR 2.17, 95%CI 1.21-3.90, p=0.01) were significantly associated with PSH.
CONCLUSION: Approximately one-third of PSH patients will develop symptoms and 15% will require surgery. Risk for developing PSH plateaued after the 3rd postoperative year. Longer operative time, larger fascial defect and lower postoperative kidney functions were associated with PSH.
Oncology (1) Hernia (4), Urinary Bladder Neoplasms (1), more mentions