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Contemporary multicenter outcomes of continent cutaneous ileocecocystoplasty in the adult population over a 10‐year period: A Neurogenic Bladder Research Group study
Author(s) -
Cheng Philip J.,
Keihani Sorena,
Roth Joshua D.,
Pariser Joseph J.,
Elliott Sean P.,
Bose Sanchita,
Khavari Rose,
Crescenze Iryna,
Stoffel John T.,
Velaer Kyla N.,
Elliott Christopher S.,
Raffee Samantha M.,
Atiemo Humphrey O.,
Kennelly Michael J.,
Lenherr Sara M.,
Myers Jeremy B.
Publication year - 2020
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.24420
Subject(s) - medicine , concomitant , surgery , exact test , multicenter study , demographics , retrospective cohort study , population , randomized controlled trial , demography , environmental health , sociology
Aims Evidence is sparse on the long‐term outcomes of continent cutaneous ileocecocystoplasty (CCIC). We hypothesized that obesity, laparoscopic/robotic approach, and concomitant surgeries would affect morbidity after CCIC and aimed to evaluate the outcomes of CCIC in adults in a multicenter contemporary study. Methods We retrospectively reviewed the charts of adult patients from sites in the Neurogenic Bladder Research Group undergoing CCIC (2007‐2017) who had at least 6 months of follow‐up. We evaluated patient demographics, surgical details, 90‐day complications, and follow‐up surgeries. the Mann‐Whitney U test was used to compare continuous variables and χ ² and Fisher's Exact tests were used to compare categorical variables. Results We included 114 patients with a median age of 41 years. The median postoperative length of stay was 8 days. At 3 months postoperatively, major complications occurred in 18 (15.8%), and 24 patients (21.1%) were readmitted. During a median follow‐up of 40 months, 48 patients (42.1%) underwent 80 additional related surgeries. Twenty‐three patients (20.2%) underwent at least one channel revision, most often due to obstruction (15, 13.2%) or incontinence (4, 3.5%). Of the channel revisions, 10 (8.8%) were major and 14 (12.3%) were minor. Eleven patients (9.6%) abandoned the catheterizable channel during the follow‐up period. Obesity and laparoscopic/robotic surgical approach did not affect outcomes, though concomitant surgery was associated with a higher rate of follow‐up surgeries. Conclusions In this contemporary multicenter series evaluating CCIC, we found that the short‐term major complication rate was low, but many patients require follow‐up surgeries, mostly related to the catheterizable channel.