Bowel Preparation Versus No Preparation Before Ileal Urinary Diversion

Tabibi, Ali; Simforoosh, Nasser; Basiri, Abbas; Ezzatnejad, Mohammadreza; Abdi, Hamidreza; Farrokhi, Farhat

doi:10.1016/j.urology.2007.06.1107

Cited by 54 publications

(30 citation statements)

References 17 publications

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“…Of these, 1 study lacked a control group [18], 2 studies made an inappropriate comparison [19,20], and 1 study focused on old people [21]; these studies were all excluded. In the end, 7 articles were identified for inclusion (two RCTs and five cohort studies) [10,11,12,13,22,23,24]. The overall risk of bias was unclear in 2 RCTs.…”

Section: Resultsmentioning

confidence: 99%

“…Only 19 cases were neurogenic bladder patients who received ileocystoplasty [22]. Considering that the subjects of this study were the patients who underwent urinary diversion surgery, we did not rule out this research.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies reported non-urologic sepsis and no difference was found in the incidence with MBP (OR 0.71; 95% CI 0.10-5.15; p = 0.73) [11,12]. Abdominal abscess was described in four studies [10,11,12,22]; no difference was found in the incidence with MBP (OR 0.53; 95% CI 0.15-1.87; p = 0.32). Two studies reported peritonitis and no difference was found in the incidence with MBP [11,22] (OR 2.29; 95% CI 0.09-58.85; p = 0.62).…”

Section: Resultsmentioning

confidence: 99%

“…Abdominal abscess was described in four studies [10,11,12,22]; no difference was found in the incidence with MBP (OR 0.53; 95% CI 0.15-1.87; p = 0.32). Two studies reported peritonitis and no difference was found in the incidence with MBP [11,22] (OR 2.29; 95% CI 0.09-58.85; p = 0.62). The whole subgroup analysis is shown in figure 2.…”

Section: Resultsmentioning

confidence: 99%

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The Role of Mechanical Bowel Preparation before Ileal Urinary Diversion: A Systematic Review and Meta-Analysis

et al. 2014

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Background: Although the use of mechanical bowel preparation (MBP) is still widely promoted as the dogma before patients undergo ileal urinary diversion, an increasing number of clinical trials have suggested that there is no benefit. Thus, we performed a meta-analysis to evaluate the efficacy of MBP in ileal urinary diversion surgery. Methods: A literature search was performed in electronic databases, including PubMed, Embase, Science Citation Index Expanded as well as the Cochrane Library and the Cochrane Clinical Trials Registry, from 1966 to January 1, 2013. Clinical trials comparing outcomes of MBP versus no MBP for ileal urinary diversion surgery were included in the meta-analysis. Pooled odds ratios with 95% confidence intervals were calculated using the fixed- or random-effects models. Results: In total, two randomized controlled trials and five cohort studies were included in this meta-analysis. The primary outcomes, such as bowel leak and bowel obstruction, showed no statistical difference between the two groups. Additionally, the overall mortality rate and death rate related to operation also manifested that MBP does not offer an advantage over the no MBP. Conclusion: This meta-analysis suggests that MBP does not reduce the incidence of perioperative complications in urinary diversion compared with no MBP. However, large randomized controlled clinical trials are needed to confirm this finding.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Role of Mechanical Bowel Preparation before Ileal Urinary Diversion: A Systematic Review and Meta-Analysis

et al. 2014

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“…224,225 While bowel preparation is not typically indicated, it is recommended prior to Indiana pouch procedures or other urinary diversions using colon.…”

Section: Discussionmentioning

confidence: 99%

Recommendations for the improvement of bladder cancer quality of care in Canada: A consensus document reviewed and endorsed by Bladder Cancer Canada (BCC), Canadian Urologic Oncology Group (CUOG), and Canadian Urological Association (CUA), December 2015

Kassouf

Aprikian

Black

et al. 2016

CUAJ

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This initiative was undertaken in response to concerns regarding the variation in management and in outcomes of patients with bladder cancer throughout centres and geographical areas in Canada. Population-based data have also revealed that real-life survival is lower than expected based on data from clinical trials and/or academic centres. To address these perceived shortcomings and attempt to streamline and unify treatment approaches to bladder cancer in Canada, a multidisciplinary panel of expert clinicians was convened last fall for a two-day working group consensus meeting. The panelists included urologic oncologists, medical oncologists, radiation oncologists, patient representatives, a genitourinary pathologist, and an enterostomal therapy nurse. The following recommendations and summaries of supporting evidence represent the results of the presentations, debates, and discussions. Methodology

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Orthotopic Bladder Substitution

Cheney

Castle

2015

Pelvic Cancer Surgery

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Bowel Preparation Versus No Preparation Before Ileal Urinary Diversion

Cited by 54 publications

References 17 publications

The Role of Mechanical Bowel Preparation before Ileal Urinary Diversion: A Systematic Review and Meta-Analysis

The Role of Mechanical Bowel Preparation before Ileal Urinary Diversion: A Systematic Review and Meta-Analysis

Recommendations for the improvement of bladder cancer quality of care in Canada: A consensus document reviewed and endorsed by Bladder Cancer Canada (BCC), Canadian Urologic Oncology Group (CUOG), and Canadian Urological Association (CUA), December 2015

Orthotopic Bladder Substitution

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