TO DETERMINE THE HIGH RISK OF EARLY COMPLICATION RATE AMONG NORMAL RENAL FUNCTION PATIENTS VERSUS IMPAIRED RENAL FUNCTION PATIENTS IN POSTOPERATIVE AUGMENTATION CYSTOPLASTY

OBJECTIVE: “To determine the high risk of early complication rate among normal renal function patients versus impaired renal function patients in postoperative augmentation cystoplasty”

MATERIAL AND METHODS: We retrospectively analyzed a total of 40 patients; 20 patients are in Group A (normal renal functioning) 20 patients are in Group B (impaired renal functioning) in which 26 male and 14 females who underwent augmentation cystoplasty and were registered during last 5 years starting from January 2015 till December 2019.

RESULTS: The mean ages of these patients were 31.73 ± 10.73in the range of 1856 years and there were 65% males and 35% females in these groups. In early postoperative duration the differences of early complications in both groups up to three months of follow-up were observed. Out of 20 patients in each groups 14 (70%) were presented with fever in group A and 17(85%) were in group Band (P=0.451), whereas Hematuria occurs in 2 (10%) patients of group A and 3 (15%) patients of group B and (P=0.999), the symptoms of Post operative ileus were seen in 13 (65%) patients in group A and 18 (90%) in group B and (P=0.127), while the occurrence of Surgical site infection was observed in 9 (45%) patient in group A and 13 (65%) patients in group Band (P=0.202), and Urinary leakage was seen in 3 (15%) patients in group A and in 5 (25%) were in group B (25%) and (P=0.695), however Deep venous thrombus/pulmonary edema in 1 (5%) patients in group A and 2 (10%) in group Band (P=1.000), whereas Fecal leakage and Ruptured augmented bladder has not occur in both groups and these groups are constant.

CONCLUSION: In our study the higher risk of early complications rate was seen in impaired renal function patients as compared to normal renal function patients within 3 months follow-up in SIUT. We concluded that patients with increased baseline creatinine levels after surgery are prone to develop early complications in postoperative duration.

KEYWORDS: Augmentation cystoplasty, ileocystoplasty, bladder augmentation, small capacity bladder, enter cystoplasty.