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Contemporary multicenter outcomes of continent cutaneous ileocecocystoplasty in the adult population over a 10‐year period: A Neurogenic Bladder Research Group study
- Source :
- Neurourology and Urodynamics. 39:1771-1780
- Publication Year :
- 2020
- Publisher :
- Wiley, 2020.
-
Abstract
- Aims Evidence is sparse on the long-term outcomes of continent cutaneous ileocecocystoplasty (CCIC). We hypothesized that obesity, laparoscopic/robotic approach, and concomitant surgeries would affect morbidity after CCIC and aimed to evaluate the outcomes of CCIC in adults in a multicenter contemporary study. Methods We retrospectively reviewed the charts of adult patients from sites in the Neurogenic Bladder Research Group undergoing CCIC (2007-2017) who had at least 6 months of follow-up. We evaluated patient demographics, surgical details, 90-day complications, and follow-up surgeries. the Mann-Whitney U test was used to compare continuous variables and χ² and Fisher's Exact tests were used to compare categorical variables. Results We included 114 patients with a median age of 41 years. The median postoperative length of stay was 8 days. At 3 months postoperatively, major complications occurred in 18 (15.8%), and 24 patients (21.1%) were readmitted. During a median follow-up of 40 months, 48 patients (42.1%) underwent 80 additional related surgeries. Twenty-three patients (20.2%) underwent at least one channel revision, most often due to obstruction (15, 13.2%) or incontinence (4, 3.5%). Of the channel revisions, 10 (8.8%) were major and 14 (12.3%) were minor. Eleven patients (9.6%) abandoned the catheterizable channel during the follow-up period. Obesity and laparoscopic/robotic surgical approach did not affect outcomes, though concomitant surgery was associated with a higher rate of follow-up surgeries. Conclusions In this contemporary multicenter series evaluating CCIC, we found that the short-term major complication rate was low, but many patients require follow-up surgeries, mostly related to the catheterizable channel.
- Subjects :
- Adult
Male
medicine.medical_specialty
Urology
030232 urology & nephrology
Adult population
Continuous variable
03 medical and health sciences
0302 clinical medicine
Robotic Surgical Procedures
medicine
Humans
Major complication
Urinary Bladder, Neurogenic
Ileocecocystoplasty
Retrospective Studies
030219 obstetrics & reproductive medicine
Surgical approach
Group study
business.industry
Middle Aged
Surgery
Treatment Outcome
Urinary Incontinence
Concomitant
Mann–Whitney U test
Urologic Surgical Procedures
Female
Neurology (clinical)
business
Subjects
Details
- ISSN :
- 15206777 and 07332467
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- Neurourology and Urodynamics
- Accession number :
- edsair.doi.dedup.....ceda81abe9a26a443aae68be78406b1b