Jonathan T. Ryan, Tarek Ajami, Adam Williams, Dinno Mendiola, Bruno Nahar, Sanoj Punnen, Chad R. Ritch, Dipen J. Parekh, Mark L. Gonzalgo
{"title":"根治性膀胱切除术和回肠导管导尿术中输尿管支架术的前瞻性分析:儿科喂养管与单一j支架术","authors":"Jonathan T. Ryan, Tarek Ajami, Adam Williams, Dinno Mendiola, Bruno Nahar, Sanoj Punnen, Chad R. Ritch, Dipen J. Parekh, Mark L. Gonzalgo","doi":"10.1002/bco2.70032","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>This study compares postoperative outcomes of radical cystectomy (RC) with ileal conduit urinary diversion (ICUD) using paediatric feeding tubes versus single-J ureteral stents.</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>Patients underwent RC with ICUD for bladder cancer between 2011 and 2018. Prospective preoperative clinical, operative and postoperative data were collected. Postoperative complications including stricture, urine leak, urinary tract infection (UTI) and ileus were compared between patients who received 5-Fr paediatric feeding tubes or 7-Fr single-J ureteral stents during surgery.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Two hundred thirty-four patients underwent RC with ICUD including 26 with paediatric feeding tubes and 208 with single-J ureteral stents; 41% had robotic cystectomy, with 36% of these undergoing intracorporeal ICUD. Both groups were comparable in age, gender, kidney function and comorbidities. No significant differences were observed between groups for rates of ileus (20% vs. 34%, <i>p</i> = 0.14), urine leak (4% vs. 10%, <i>p</i> = 0.3), uretero-ileal stricture (16% vs. 18%, <i>p</i> = 0.7) or overall urinary complications (20% vs. 37%, <i>p</i> = 0.12), except for a lower UTI rate in the feeding tube group (4% vs. 23%, <i>p</i> = 0.02). Median hospital stay was shorter in the feeding tube group (6 vs. 8 days, <i>p</i> = 0.015) with similar readmission rates compared to the stent group (<i>p</i> = 0.96).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Using 5-Fr feeding tubes for ureteral stenting during RC with ICUD is a safe alternative to 7-Fr single-J stents, especially for patients with small ureters or delicate anatomy. Stent type showed no significant impact on postoperative urinary complications except for a lower UTI rate with feeding tubes, suggesting comparable overall outcomes between the two stent types.</p>\n </section>\n </div>","PeriodicalId":72420,"journal":{"name":"BJUI compass","volume":"6 5","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/bco2.70032","citationCount":"0","resultStr":"{\"title\":\"A prospective analysis of ureteral stenting during radical cystectomy and ileal conduit urinary diversion: Paediatric feeding tubes versus single-J stents\",\"authors\":\"Jonathan T. Ryan, Tarek Ajami, Adam Williams, Dinno Mendiola, Bruno Nahar, Sanoj Punnen, Chad R. Ritch, Dipen J. Parekh, Mark L. Gonzalgo\",\"doi\":\"10.1002/bco2.70032\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>This study compares postoperative outcomes of radical cystectomy (RC) with ileal conduit urinary diversion (ICUD) using paediatric feeding tubes versus single-J ureteral stents.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Materials and Methods</h3>\\n \\n <p>Patients underwent RC with ICUD for bladder cancer between 2011 and 2018. Prospective preoperative clinical, operative and postoperative data were collected. Postoperative complications including stricture, urine leak, urinary tract infection (UTI) and ileus were compared between patients who received 5-Fr paediatric feeding tubes or 7-Fr single-J ureteral stents during surgery.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Two hundred thirty-four patients underwent RC with ICUD including 26 with paediatric feeding tubes and 208 with single-J ureteral stents; 41% had robotic cystectomy, with 36% of these undergoing intracorporeal ICUD. Both groups were comparable in age, gender, kidney function and comorbidities. No significant differences were observed between groups for rates of ileus (20% vs. 34%, <i>p</i> = 0.14), urine leak (4% vs. 10%, <i>p</i> = 0.3), uretero-ileal stricture (16% vs. 18%, <i>p</i> = 0.7) or overall urinary complications (20% vs. 37%, <i>p</i> = 0.12), except for a lower UTI rate in the feeding tube group (4% vs. 23%, <i>p</i> = 0.02). Median hospital stay was shorter in the feeding tube group (6 vs. 8 days, <i>p</i> = 0.015) with similar readmission rates compared to the stent group (<i>p</i> = 0.96).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Using 5-Fr feeding tubes for ureteral stenting during RC with ICUD is a safe alternative to 7-Fr single-J stents, especially for patients with small ureters or delicate anatomy. 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A prospective analysis of ureteral stenting during radical cystectomy and ileal conduit urinary diversion: Paediatric feeding tubes versus single-J stents
Objectives
This study compares postoperative outcomes of radical cystectomy (RC) with ileal conduit urinary diversion (ICUD) using paediatric feeding tubes versus single-J ureteral stents.
Materials and Methods
Patients underwent RC with ICUD for bladder cancer between 2011 and 2018. Prospective preoperative clinical, operative and postoperative data were collected. Postoperative complications including stricture, urine leak, urinary tract infection (UTI) and ileus were compared between patients who received 5-Fr paediatric feeding tubes or 7-Fr single-J ureteral stents during surgery.
Results
Two hundred thirty-four patients underwent RC with ICUD including 26 with paediatric feeding tubes and 208 with single-J ureteral stents; 41% had robotic cystectomy, with 36% of these undergoing intracorporeal ICUD. Both groups were comparable in age, gender, kidney function and comorbidities. No significant differences were observed between groups for rates of ileus (20% vs. 34%, p = 0.14), urine leak (4% vs. 10%, p = 0.3), uretero-ileal stricture (16% vs. 18%, p = 0.7) or overall urinary complications (20% vs. 37%, p = 0.12), except for a lower UTI rate in the feeding tube group (4% vs. 23%, p = 0.02). Median hospital stay was shorter in the feeding tube group (6 vs. 8 days, p = 0.015) with similar readmission rates compared to the stent group (p = 0.96).
Conclusions
Using 5-Fr feeding tubes for ureteral stenting during RC with ICUD is a safe alternative to 7-Fr single-J stents, especially for patients with small ureters or delicate anatomy. Stent type showed no significant impact on postoperative urinary complications except for a lower UTI rate with feeding tubes, suggesting comparable overall outcomes between the two stent types.