ArticleTranslational andrology and urology2024
Bowel complications and anastomotic leak after ileocolic anastomosis in urinary diversion surgery: a comparative 12-year retrospective single-center study.
Article in Translational andrology and urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- A narrative review of the state of urinary diversion: ileal conduit, neobladder, continent cutaneous, and cutaneous ureterostomy.Translational andrology and urology · 2026Review
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Authors and funding
5 authors.
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Abstract
Background: There is limited data within the urologic literature regarding bowel complications and leak rates following surgery requiring ileocolic anastomoses such as right colon pouch (RCP) and continent cutaneous ileocecocystoplasty (CCIC). We aimed to establish ileocolic anastomotic leak rates in urologic reconstructive surgery and determine bowel-related complications following RCP and CCIC surgeries. Methods: We reviewed adult patients who underwent RCP or CCIC (2010-2022), investigating patient characteristics, perioperative variables, and outcomes. We used Cox Proportional Hazards analysis to compare bowel-related complications. Patients with proximal ileostomy were excluded from analysis, as well as those with less than 90 days follow-up. Results: Of 162 patients, 106 (65.4%) underwent RCP and 56 (34.6%) underwent CCIC. The mean age was 55.5 (13.1) and 40.3 (14.6) years in RCP and CCIC group (P<0.001). The leading etiology was radiation injury [34 (32.1%)] and spinal cord injury [32 (57.1%)] for RCP Conclusions: This study establishes ileocolic anastomotic leak rates in a large urologic patient population. Our findings highlight the protective role of double-layered ileocolic anastomosis reinforced with hand-sewn sutures in reducing bowel complications and anastomotic leaks. There were no significant distinctions between RCP and CCIC in survival rates and bowel complications.
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