Abstract | AIMS: Beyond single-institution case series, limited data are available to describe risks of performing a concurrent cystectomy at the time of urinary diversion for benign end-stage lower urinary tract dysfunction. Using a population-representative sample, this study aimed to analyze factors associated with perioperative complications in patients undergoing urinary diversion with or without cystectomy. METHODS: A representative sample of patients undergoing urinary diversion for benign indications was identified from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample from 1998 to 2011. Perioperative complications of urinary diversion with and without concomitant cystectomy were identified and coded using the International Classification of Diseases, version 9. Multivariate logistic regression models identified hospital and patient-level characteristics associated with complications of concomitant cystectomy with urinary diversion. RESULTS: CONCLUSIONS: A concomitant cystectomy with urinary diversion for refractory lower urinary tract dysfunction elevates risk in this population-representative sample, particularly in those with certain comorbid conditions. This analysis provides critical information for preoperative patient counseling.
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Authors | Elizabeth Timbrook Brown, David Osborn, Stephen Mock, Shenghua Ni, Amy J Graves, Laurel Milam, Douglas Milam, Melissa R Kaufman, Roger R Dmochowski, W Stuart Reynolds |
Journal | Neurourology and urodynamics
(Neurourol Urodyn)
Vol. 36
Issue 5
Pg. 1411-1416
(Jun 2017)
ISSN: 1520-6777 [Electronic] United States |
PMID | 27654310
(Publication Type: Journal Article)
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Copyright | © 2016 Wiley Periodicals, Inc. |
Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Cystectomy
(adverse effects)
- Female
- Humans
- Lower Urinary Tract Symptoms
(surgery)
- Male
- Middle Aged
- Postoperative Complications
(etiology)
- Preoperative Care
- Urinary Diversion
(adverse effects)
- Young Adult
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