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The natural course of urinalysis after urinary diversion
- Source :
- World journal of urology. 39(5)
- Publication Year :
- 2020
-
Abstract
- To evaluate the impact of urinary diversion on regular features of urinalysis and to screen for risk factors of infection-related complications. We conducted a retrospective, single-centre study of 429 patients who underwent open radical cystectomy. Patients were followed for 12 months and data of the complete urinalyses were analysed at three pre-defined time points. Two weeks after surgery, dipstick testing with positive reactions for leukocyte esterase and haemoglobin were confirmed in 80.7% and 80% after ileal conduit (IC) and orthotopic ileal neobladder (NB), respectively. Every patient was positive for these parameters 12 months after surgery. Correspondingly, the microscopic examination detected leukocytes (84% vs. 85.4%), erythrocytes (82.8% vs. 83.8%) and bacteria (94.3% vs. 96.8%) following IC and NB reconstruction. After 12 months, all parameters were positive irrespective of the type of urinary diversion. Two weeks after surgery positive urine cultures were obtained in more than 50% of cases after IC (52.5%) and NB (60.5%) (p > 0.05). All urine cultures were positive after 12 months with significantly more poly-microbial results found after NB (81.3%) compared with IC (67.2%) (p = 0.018). In univariate and multivariate logistic regression analysis the presence of hydronephrosis was independently associated with the occurrence of infectious complications (OR 4.2; CI 95% 1.525–11.569; p = 0.006). A positive urinalysis is a common finding after urinary diversion. Hydronephrosis is a serious risk factor with respect to infection-related complications. The simple fact of a positive urinalysis does not warrant antimicrobial treatment.
- Subjects :
- medicine.medical_specialty
Urinalysis
Urology
medicine.medical_treatment
030232 urology & nephrology
Urine
Urinary Diversion
Cystectomy
Risk Assessment
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Risk Factors
medicine
Humans
Risk factor
Hydronephrosis
Retrospective Studies
medicine.diagnostic_test
business.industry
Urinary diversion
Urinary Reservoirs, Continent
Dipstick
medicine.disease
Leukocyte esterase
Urinary Bladder Neoplasms
030220 oncology & carcinogenesis
Urinary Tract Infections
business
Subjects
Details
- ISSN :
- 14338726
- Volume :
- 39
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- World journal of urology
- Accession number :
- edsair.doi.dedup.....e034228e150c112cbae4aca80ffdb7d5