Contemporary multicenter outcomes of continent cutaneous ileocecocystoplasty in the adult population over a 10-year period: A Neurogenic Bladder Research Group study

Philip J. Cheng, Sorena Keihani, Joshua D. Roth, Joseph J. Pariser, Sean P. Elliott, Sanchita Bose, Rose Khavari, Iryna Crescenze, John T. Stoffel, Kyla N. Velaer, Christopher S. Elliott, Samantha M. Raffee, Humphrey O. Atiemo, Michael J. Kennelly, Sara M. Lenherr, Jeremy B. Myers

Research output: Contribution to journalArticle

Abstract

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 χ² 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.

Original languageEnglish (US)
Pages (from-to)1771-1780
Number of pages10
JournalNeurourology and Urodynamics
Volume39
Issue number6
DOIs
StatePublished - Aug 1 2020

Keywords

  • augmentation cystoplasty
  • bladder
  • enterocystoplasty
  • neurogenic bladder

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    Cheng, P. J., Keihani, S., Roth, J. D., Pariser, J. J., Elliott, S. P., Bose, S., Khavari, R., Crescenze, I., Stoffel, J. T., Velaer, K. N., Elliott, C. S., Raffee, S. M., Atiemo, H. O., Kennelly, M. J., Lenherr, S. M., & Myers, J. B. (2020). Contemporary multicenter outcomes of continent cutaneous ileocecocystoplasty in the adult population over a 10-year period: A Neurogenic Bladder Research Group study. Neurourology and Urodynamics, 39(6), 1771-1780. https://doi.org/10.1002/nau.24420