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A Study on Radical Cystectomy with Various Types of Conduits and Complications

Mohammed Abdul Majid Adil , P Randhir Kumar1 , Mohammed Abdul Majid Adil2

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Urology, Nephrology and Andrology International 4(2):p 33-41, July-December 2019. | DOI: DOI: http://dx.doi.org/10.21088/unai.2456-5016.4219.1

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P Randhir Kumar, Mohammed Abdul Majid Adil. A Study on Radical Cystectomy with Various Types of Conduits and Complications. Urology, Nephrology and Andrology International. 2019;4(2):33–41.

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Abstract

Aims: To study the patients with ileal and colon conduits after radical cystectomy in bladder carcinoma. Assess the postoperative complications and quality of life during follow up period. Materials and methods: It is prospective Hospital-based clinical study (oncological and functional data) in 20 patients. All patients with bladder carcinoma that underwent radical cystectomy, both genders, for urothelial and non-urothelial tumour at any age. In this study 20 patients were included; 14 patients with ileal conduit (Group-IC) and 6 patients with transverse colon conduit (Group-TVCC). The age of the patients included in this study ranged from 19 to 81 years. The average follows up of the patients included in our study was 2 years with the range of the follow up period 1–12 months. Results: 8 females (40%) and 12 male (60%) are present in study with male prepondrence and ratio of females: Males is 2:3. In Ileal conduit approach after radical cystectomy average operative time was 4.0 hours the average blood loss was 400 ml and no intraoperative complications were observed. The average postoperative hospital stay was 16 days for patients with colon conduit and 14 days in cases with ileal conduit one (16.6%) patient who underwentcolon conduit had hydronephrosis managed by nephrostomy tube insertion, no postoperative complications observed in ileal conduit. In over all cases Ileal conduit (20%) has less complication in comparison with colon conduit (33%). Ileal conduit has better scoring of satisfaction than in comparison with colon conduit. Conclusion: Ileal Conduit can be considered an appropriate surgical solution after RC in most patients because of the relative simplicity of the surgical technique, the acceptable complication rate, and the satisfactory postoperative QoL.

Keywords: Radical Cystectomy; Bladder carcinoma; Ileal conduit.

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P Randhir Kumar, Mohammed Abdul Majid Adil. A Study on Radical Cystectomy with Various Types of Conduits and Complications. Urology, Nephrology and Andrology International. 2019;4(2):33–41.

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DOI: DOI: http://dx.doi.org/10.21088/unai.2456-5016.4219.1

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