Early and Midterm Complications of the Continent Catheterizable Indiana Pouch Urinary Diversion: A 7-year Experience

Ramzy Burns; Ryan Speir; Sean Q. Kern; Hannah Jarvis; Jonathan Schmidt; Clint Cary; Timothy Masterson; Thomas Gardner; Richard Bihrle; Michael Koch; Hristos Kaimakliotis

doi:10.1016/j.urology.2022.04.016

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Early and Midterm Complications of the Continent Catheterizable Indiana Pouch Urinary Diversion: A 7-year Experience

Journal article

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Early and Midterm Complications of the Continent Catheterizable Indiana Pouch Urinary Diversion: A 7-year Experience

Ramzy Burns, Ryan Speir, Sean Q. Kern, Hannah Jarvis, Jonathan Schmidt, Clint Cary, Timothy Masterson, Thomas Gardner, Richard Bihrle, Michael Koch, …

Urology (Ridgewood, N.J.), Vol.167, pp.229-233

09/01/2022

DOI: 10.1016/j.urology.2022.04.016

PMID: 35500698

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Abstract

OBJECTIVES To describe the most recent 7 year experience with 137 Indiana pouch patients at a single institu-tion and provide data on complications with this type of urinary diversion during the first postop-erative year.METHODS We queried our bladder cancer database to identify all patients who underwent cystectomy with continent catheterizable urinary reservoir between 2012 and 2018. Pre-, intra-, and postoperative data were collected. Complications were stratified into early (within 90 days) and midterm (90-365 days). The primary outcomes were postoperative complications, and overall and cancer -specific mortality.RESULTS A total of 137 patients underwent open cystectomy with Indiana pouch creation. Of these, 93% were radical cystectomies. On average, the operation took 422 minutes. There were 53 (39%) patients who experienced any type of complication during the first postoperative year (Clavien II -V). Twenty-five patients (18.2%) readmitted in the early postoperative period vs 18 (13.1%) patients midterm. There were 10 (7.3%) patients that required early reoperation and 11 (8%) in the midterm period. The overall mortality rate was 1.5% early and 3.7% midterm, with the major-ity of the mortality rate attributed to cancer progression (85.7%).CONCLUSION Patients undergoing continent catheterizable reservoir urinary diversion appear to have compara-ble complication rates to other urinary diversions published in the literature. At high-volume uro-logic institutions, Indiana Pouch creation is a suitable option for select patients desiring a continent diversion. UROLOGY 167: 229-233, 2022. (c) 2022 Elsevier Inc.

Life Sciences & Biomedicine

Science & Technology

Urology & Nephrology

Details

Title: Subtitle: Early and Midterm Complications of the Continent Catheterizable Indiana Pouch Urinary Diversion: A 7-year Experience
Creators: Ramzy Burns - Indiana University Hospital
Ryan Speir - Indiana University Indianapolis
Sean Q. Kern - Indiana University Indianapolis
Hannah Jarvis - Indiana University Indianapolis
Jonathan Schmidt - Indiana University Indianapolis
Clint Cary - Indiana University Indianapolis
Timothy Masterson - Indiana University Indianapolis
Thomas Gardner - Indiana University Indianapolis
Richard Bihrle - Indiana University Indianapolis
Michael Koch - Indiana University Indianapolis
Hristos Kaimakliotis - Indiana University Indianapolis
Resource Type: Journal article
Publication Details: Urology (Ridgewood, N.J.), Vol.167, pp.229-233
DOI: 10.1016/j.urology.2022.04.016
PMID: 35500698
ISSN: 0090-4295
eISSN: 1527-9995
Publisher: Elsevier
Number of pages: 5
Language: English
Date published: 09/01/2022
Academic Unit: Urology
Record Identifier: 9985237608302771

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