Comparative Study of Postoperative Complications Associated With Modified Indiana Pouch in Elderly Versus Younger Patients

Navon, Joseph D.; Wong, Alan; Weinberg, Alan C.; Ahlering, Thomas E.

doi:10.1097/00005392-199510000-00013

Cited by 1 publication

(1 citation statement)

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“…These include renal function [glomerular filtration rate (GFR) >40 ml/min and/or creatinine>1.8], liver function, inflammatory bowel disease, age of the patient, manual dexterity, preoperative urinary continence, pelvic radiation, and primary tumor type and stage [26,27]. The presence of superimposed morbidities in elderly patients increase the likelihood that one or more relative contraindications to continent diversions exist in the individual patient.…”

Section: Factors Affecting Diversion Decisionmentioning

confidence: 99%

Urinary Diversion in the Elderly

Ayoub

Westney

2015

Curr Bladder Dysfunct Rep

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The elderly or older population segment has a heterogenous definition in the literature with the majority including patients aged between 60 and 80 years. Several studies have proven that a cystectomy can be performed safely in the elderly population. We sought out to review the literature identifying the specific complications and the considerations requiring attention when performing a urinary diversion on an elderly patient. A review of literature performed using PubMed revealed paucity of citations specifically looking at different urinary diversion techniques and the specific complications related in an elderly population. However, we extrapolated additional data from articles that studied cystectomy surgical cohorts with identifiable age stratification. Particular complications and areas deserving of additional attention included gastrointestinal, renal, ureteroenteric anastomotic technique, metabolic disorders, quality of life, and voiding dysfunction. Detailed history and proper counseling of the patient and family are central to the selection of the appropriate urinary diversion technique and help maintain realistic patient expectations with a higher satisfaction rate. It is of paramount importance when considering continent urinary diversions to address the feasibility of adhering to a higher level of maintenance and the patient's ability to withstand diversionrelated complications.

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Section: Factors Affecting Diversion Decisionmentioning

confidence: 99%