MP38-09 DOES THE ILEAL LENGTH USED FOR NEOBLADDER RECONSTRUCTION AFTER RADICAL CYSTECTOMY IMPACT ON POSTOPERATIVE BOWEL HABITS ? - A COMPARISON BETWEEN THE STUDER- AND THE I-POUCH
2016-03-28

You have accessJournal of UrologyBladder Cancer: Invasive I1 Apr 2016MP38-09 DOES THE ILEAL LENGTH USED FOR NEOBLADDER RECONSTRUCTION AFTER RADICAL CYSTECTOMY IMPACT ON POSTOPERATIVE BOWEL HABITS ? - A COMPARISON BETWEEN THE STUDER- AND THE I-POUCH Johannes Mischinger, Mohamed Abdelhafez, Tilman Todenhöfer, Stefan Aufderklamm, Steffen Rausch, Christian Schwentner, Arnulf Stenzl, and Georgios Gakis Johannes MischingerJohannes Mischinger More articles by this author , Mohamed AbdelhafezMohamed Abdelhafez More articles by this author , Tilman TodenhöferTilman Todenhöfer More articles by this author , Stefan AufderklammStefan Aufderklamm More articles by this author , Steffen RauschSteffen Rausch More articles by this author , Christian SchwentnerChristian Schwentner More articles by this author , Arnulf StenzlArnulf Stenzl More articles by this author , and Georgios GakisGeorgios Gakis More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.113AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The aim of the study was to investigate whether the length of ileum used for neobladder reconstruction after radical cystectomy (RC) for bladder cancer (60cm vs. 40cm) impacts on postoperative bowel function. METHODS In this cross sectional study, a total of 56 patients who received an ileal neobladder after RC for BC between 2003 and 2011 were investigated (Studer (S)-Pouch: 23 patients, 19 men, 4 women; I-Pouch: 33 patients; 26 men, 7 women)). Changes perioperative bowel habits were retrospectively evaluated by the validated Gastrotintestinal Quality of Life Index (GIQLI). In addition, preoperative comorbidities were assessed by the Charlson Comobidity Index (CCI) and surgical complications as graded by the Clavien-Dindo classification. RESULTS I-Pouch patients tended to have a higher CCI compared to S-Pouch patients (defined as CCI>=3; S-Pouch: 8/23, 34% vs. I-Pouch: 20/33, 61%; p=0.055). No significant differences were observed for 30-day major- (S: 5/23, 22% vs. I: 4/33, 12%; p=0.33) and minor (S: 5/23, 22% vs. I: 7/33, 21%; p=0.96) complication rates as well as 90-day major (S: 2/23, 9%) vs. I: 0/33, 0%; p=0.08) and minor (S: 2/23, 9% vs. I: 0/33, 0%; p=0.08) complication rates between both types of neobladder. Patients with an S-Pouch reported on higher preoperative stool frequency (S: median 3, IQR 2-4; I: median 4, IQR 3-4; p=0.035) and urgency (S: median 3, IQR 2.75-4; I: 4, IQR: 3-4; p=0.032). No significant differences in postoperative bowel disorders were found between both neobladder types (S-Pouch: median: 16, IQR: 14-18.5; I: median: 18, IQR: 14-20; p=0.50). CONCLUSIONS In this analysis, I-pouch patients tended to present with more comorbidities prior to RC while S-Pouch suffered more frequently from bowel disorders preoperatively. However, perioperative complication rates and bowel habits were similar between both orthotopic bladder substitutes. These data suggest that the length of ileum used for neobladder reconstruction does not impact per se on bowel function after RC. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e536 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Johannes Mischinger More articles by this author Mohamed Abdelhafez More articles by this author Tilman Todenhöfer More articles by this author Stefan Aufderklamm More articles by this author Steffen Rausch More articles by this author Christian Schwentner More articles by this author Arnulf Stenzl More articles by this author Georgios Gakis More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...