MP49-14 COMPLICATIONS OF NON-CONTINENT CUTANEOUS URINARY DIVERSION IN ADULT SPINAL CORD

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Ureter (including Pyeloplasty) and Bladder Reconstruction (including fistula), Augmentation, Substitution, Diversion I1 Apr 2018MP49-14 COMPLICATIONS OF NON-CONTINENT CUTANEOUS URINARY DIVERSION IN ADULT SPINAL CORD Cyrille Guillot-Tantay, Emmanuel Chartier-Kastler, Marie-Aimée Perrouin-Verbe, Pierre Denys, Priscilla Léon, and Véronique Phé Cyrille Guillot-TantayCyrille Guillot-Tantay More articles by this author , Emmanuel Chartier-KastlerEmmanuel Chartier-Kastler More articles by this author , Marie-Aimée Perrouin-VerbeMarie-Aimée Perrouin-Verbe More articles by this author , Pierre DenysPierre Denys More articles by this author , Priscilla LéonPriscilla Léon More articles by this author , and Véronique PhéVéronique Phé More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.1605AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To report the long-term complications of non-continent cutaneous urinary diversion (NCCUD) in adult spinal cord injured (SCI) patients. METHODS A retrospective single centre study included all adult SCI patients who underwent an ileal conduit between June 1997 and June 2014. Early complications were reported according to Clavien-Dindo classification. Long-term complications and reoperation rates were recorded, as well as stoma management and autonomy improvement related to urinary function. RESULTS Overall, 102 patients were included. The surgical indications included failure of intermittent catheterization (n= 43), urethral fistulae due to skin ulcers (n=50), renal failure (n=8), recurrent urinary tract infections (n=9), lithiasis (n=3) and bladder tumors (n=2). There were 67 early postoperative complications leading to an additional surgery in 15 cases: 30 grade I-II, 30 grade III, 6 grade IV and 1 grade V. A total of 37 late complications were reported: 17 ureteral anastomosis stenosis, 3 stoma hernia, 3 pyocystis (3/15 patients), 7 pyelonephritis, 2 renal failures, 2 ureteral lithiasis, 1 uterine prolapse, 1 incisional hernia and 1 tumor recurrence. Renal function remained unchanged (p=0.53). Autonomy related to urinary function was improved in 87.5% patients. The correct fitting of the stoma was possible for 81.6% of the patients. CONCLUSIONS Despite a perioperative morbidity rate of 43.1 % and a late complication rate of 35.3 %, as a last resort procedure, NCCUD is an end stage solution in spinal cord injured patients to preserve renal function and achieve autonomy. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e671 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Cyrille Guillot-Tantay More articles by this author Emmanuel Chartier-Kastler More articles by this author Marie-Aimée Perrouin-Verbe More articles by this author Pierre Denys More articles by this author Priscilla Léon More articles by this author Véronique Phé More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...