Reoperation for Channel Complications in Children With Continent Cutaneous Catheterizable Channels: The Test of Time

To examine the durability of continent cutaneous catheterizable urinary channels (CCCC) in children and assess whether channel complications continue to arise with extended follow-up. Previous studies demonstrated that complications of CCCC cluster in the early years following surgery. The database...

Full description

Saved in:
Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2022-01, Vol.159, p.196-202
Main Authors: Abdelhalim, Ahmed, Omar, Helmy, Edwan, Mohamed, Helmy, Tamer E., El-Hefnawy, Ahmed S., Hafez, Ashraf T., Dawaba, Mohamed E.
Format: Article
Language:English
Subjects:
Appendix - surgery
Child
Cystostomy - methods
Female
Follow-Up Studies
Humans
Male
Outcome and Process Assessment, Health Care
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - surgery
Reconstructive Surgical Procedures - methods
Reoperation - methods
Reoperation - statistics & numerical data
Urinary Catheterization - adverse effects
Urinary Catheterization - methods
Urinary Catheterization - statistics & numerical data
Urinary Incontinence - diagnosis
Urinary Incontinence - etiology
Urinary Incontinence - prevention & control
Urinary Reservoirs, Continent - adverse effects
Urinary Reservoirs, Continent - statistics & numerical data
Urologic Surgical Procedures - adverse effects
Urologic Surgical Procedures - instrumentation
Urologic Surgical Procedures - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To examine the durability of continent cutaneous catheterizable urinary channels (CCCC) in children and assess whether channel complications continue to arise with extended follow-up. Previous studies demonstrated that complications of CCCC cluster in the early years following surgery. The database of a tertiary center was queried for patients≤21 years who underwent CCCC. Patients with 5 years following initial surgery irrespective of the channel type (P=.978). On multivariate analysis, ileal channels had 3.372 higher odds of needing reoperation compared to appendicovesicostomy (95%CI=1.240-9.166; P = .037). A high reoperation rate is anticipated throughout the lifetime of CCCC. Appendicovesicostomy has a low complication risk relative to ileal channels.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2021.08.015