Journal article Open Access

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

Dania Masood, Abbas Jafri, Sunil Kumar, Mazahir, Usman Qamar, Murli Lal

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.

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