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Does Early Ureteroneocystostomy After Iatrogenic Ureteral Injury Jeopardize Outcome?
- Source :
- Urology. 136:245-250
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Objective To compare the outcomes of patients who underwent early repair (≤7 days) of iatrogenic ureteral injury with ureteroneocystostomy and compare them to those repaired in a delayed fashion (>7 days). Methods A retrospective review of billing data between 2012 and 2018 identified patients who underwent ureteroneocystostomy for a benign ureteral disease. Inclusion criteria included all ureteral injuries related to a laparoscopic, robotic, or open surgical injury. Patients with ureteral injury related to radiation, stones, or reconstructive surgery were excluded. Patients undergoing reconstruction during the initial injury or within ≤7 days were designated as having undergone early repair, while the remaining were considered delayed repair. Demographics, as well as inpatient and postdischarge data were acquired, and statistical analysis was performed comparing the 2 groups. Results Sixty-seven patients met inclusion criteria. Early repair was performed on 12 patients, while 55 underwent delayed repair. No significant difference in age, gender, Charlson Comorbidity Score, laterality, stricture location, or history of pelvic/abdominal radiation was noted. Inpatient complications were significantly higher in the immediate group (58 vs 18%, P =.004). Thirty- and 90-day complications were similar. Two patients in the delayed group and none in the immediate group demonstrated stricture recurrence (P =.710). A higher rate of Boari flap ureteral reconstruction was performed in the delayed cohort (P =.001). Conclusion In this cohort, there was no detectable difference in outcomes when comparing early and delayed ureteroneocystostomy for iatrogenic ureteral injuries.
- Subjects :
- Adult
Male
medicine.medical_specialty
Reconstructive surgery
Urology
Iatrogenic Disease
030232 urology & nephrology
Ureteral reconstruction
03 medical and health sciences
0302 clinical medicine
Early Medical Intervention
Ureteral injury
medicine
Humans
Intraoperative Complications
Ureterostomy
Retrospective Studies
business.industry
Significant difference
Retrospective cohort study
Middle Aged
Surgical Injury
Surgery
Cystostomy
Delayed repair
Treatment Outcome
030220 oncology & carcinogenesis
Cohort
Female
Ureter
business
Subjects
Details
- ISSN :
- 00904295
- Volume :
- 136
- Database :
- OpenAIRE
- Journal :
- Urology
- Accession number :
- edsair.doi.dedup.....688ed743c1f2d6bd0654967b6d97e7e4