Description
The title of this paper will be the outcomes of bladder augmentation and urinary diversion procedures in patients with benign lower urinary tract conditions it was originally 2 abstracts (patients with neurogenic bladder and patients with non-malignant , non neurogenic bladder), both abstracts will be combined in a single paper under benign lower urinary tract conditions as patients with cancer bladder were excluded from this study I will write the methods section in this study. The introduction should refer to the indications of bladder augmentation and urinary diversion procedures , symptoms of neurogenic bladder and other conditions that are listed in the attached documents In the results and discussion , the primary outcomes reported will be the early and late outcomes of surgeries in all cases and the secondary outcomes will be outcomes in patients with neurogenic bladder vs non -neurogenic bladder AND the outcomes in different categories stratified by surgery type . In the attached documents , data of each group are represented in 2 sheets ; the first sheet for demographics and the second for outcomes of surgeries in different categories I also attached the 2 abstracts that were done for this project. NB ; In bladder augmentation only there is no stoma ,hence no stomal complications to be reported , wound complications include wound dehiscence , recurrent wound infection ,sinus formation
Outcomes of bladder augmentation and urinary diversion procedures in patients with non-malignant non-neurogenic lower urinary tract conditions
Introduction and Objective:
Bladder augmentation and urinary diversion procedures are frequently indicated for patients with cancer bladder and neurogenic bladder. These procedures can also be applied in some benign lower urinary tract conditions like painful bladder syndrome, urinary tract fistulas, urethral strictures and refractory urinary incontinence. The aim of this study is to evaluate the outcomes of bladder augmentation and urinary diversion procedures applied to patients with lower urinary tract conditions other than cancer bladder and neurogenic bladder.
Methods:
we performed a retrospective chart review from March 2012 till December 2019 of consecutive patients who underwent bladder augmentation or urinary diversion procedures for lower urinary tract conditions other that neurogenic bladder and cancer bladder. Demographic information, comorbidities, early postoperative outcomes and delayed outcomes after a minimum 6-month follow-up duration were reported.
Results:
Our review retrieved 27 patients with the mean follow up of 27±18 months. Patients were mostly females (81%,n=20), overweight with BMI 28±7, the mean age was 62±12 years. Six patients (22%) were smokers and 13 patients (48%) had other comorbidities.
In the early postoperative period, with a hospital stay of 7±3 days and initiation of oral feeding 2±1 days postoperatively, three patients (11%) developed paralytic ileus and eight patients (29%) developed wound infection. Fever, UTI, pneumonia or pelvic infection were not reported after any surgery.
On the long term, bladder augmentation and urinary diversion procedures provided control of symptoms in 74% of patients(n=20). Three patients (11%) required re-operation due to uncontrolled symptoms, four patients(15%) developed renal or ureteric stones , stomal stenosis was reported in 7.5% (n=2) of cases, stomal leakage was found in 26% (n=7) of patients and stomal hernia was found in 4 patients(15%). Wound complications were reported in 15% (n=4) of patients.
Conclusion:
Bladder augmentation and urinary diversion procedures have achieved 74% control of symptoms and reduced the complications in patients with lower urinary tract conditions other than neurogenic bladder and cancer bladder. The most common reported outcomes in the early postoperative period were wound infection and paralytic ileus. On the long term, Stomal complications and recurrent urolithiasis formation were the most common complications reported after these surgeries.
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