Urology · 2004
Routine pouchograms are not necessary after continent urinary diversion.
СтатьяПоддержка исследования: вне правительства СШАОбзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ankem Murali K, Han Ken-Ryu, Hartanto Victor, Perrotti Michael, Decarvalho Victor S, Cummings Kenneth B, Weiss Robert E
Аннотация
OBJECTIVES: Pouchograms are routinely performed before catheter removal after continent urinary diversion at our institution. Our aim was to determine the necessity of pouchograms based on a review of our experience.
METHODS: A retrospective review of patient records and radiographic studies was done for patients undergoing radical cystectomy and continent urinary diversions between 1991 and 2001.
RESULTS: Seventy-two patients underwent continent urinary diversion (orthotopic, n = 59; cutaneous, n = 13) during the study period. All underwent pouchogram postoperatively (median 22 days; range 20 to 27). Six patients (8.3%) had a demonstrable radiographic leak; in 5 of the 6 patients, the urine leak was suspected on clinical grounds. Three patients (4.7%) developed urosepsis after pouchogram.
CONCLUSIONS: Our findings indicate that routine pouchograms before pouch activation after continent urinary diversion may not be necessary.
METHODS: A retrospective review of patient records and radiographic studies was done for patients undergoing radical cystectomy and continent urinary diversions between 1991 and 2001.
RESULTS: Seventy-two patients underwent continent urinary diversion (orthotopic, n = 59; cutaneous, n = 13) during the study period. All underwent pouchogram postoperatively (median 22 days; range 20 to 27). Six patients (8.3%) had a demonstrable radiographic leak; in 5 of the 6 patients, the urine leak was suspected on clinical grounds. Three patients (4.7%) developed urosepsis after pouchogram.
CONCLUSIONS: Our findings indicate that routine pouchograms before pouch activation after continent urinary diversion may not be necessary.
Предметные рубрики MeSH
AdultAgedAged, 80 and overCarcinoma, Squamous CellCarcinoma, Transitional CellCecostomyColonComputer SystemsContrast MediaCystectomyDevice RemovalDiagnostic Tests, RoutineExtravasation of Diagnostic and Therapeutic MaterialsFemaleFluoroscopyHumansIleumMaleMiddle AgedPostoperative CareRetrospective StudiesUnnecessary ProceduresUrinary Bladder NeoplasmsUrinary CatheterizationUrinary DiversionUrinary Reservoirs, Continent