The role of enhanced recovery after surgery protocols in the development of acute kidney injury following radical cystectomy

Lone, Zaeem; Zhang, Ao; Benidir, Tarik; Corrigan, Dillon; Muñoz-López, Carlos; Hegde, Pranay; Fung, Kevin; Fajnzylber, Jesse; Campbell, Rebecca A.; Ramkumar, Rathika; Murthy, P. Balakrishna; Eltemamy, Mohamed; Kaouk, Jihad; Pascal-Haber, Georges; Almassi, Nima; Weight, Christopher J.; Lee, Byron

doi:10.1016/j.urolonc.2022.07.004

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…[17,18] We believe that the comprehensive application of surgical method, as well as the postoperative rehabilitation therapy, may systematically contribute to the recovery of BPH patients after surgery, which is also in line with the concept of enhanced recovery after surgery in recent years. [19][20][21] As mentioned before, the clinical application of TUERP was widely used in China, rather than western countries in recent years, which lead to the deficiency of relative literatures published. Even so, we hope the presentation of the preliminary research might be meaningful for urologists.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of anterior lobe-preserving transurethral enucleation and resection of prostate on improving urinary incontinence in patients with benign prostatic hyperplasia: A retrospective cohort study

Huang

Chen

et al. 2023

Medicine

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Transurethral enucleation and resection of prostate (TUERP), as one of the conventional surgical methods for patients with benign prostatic hyperplasia (BPH), usually resulted in pseudo urinary incontinence after surgery. The present study was thereby conducted to evaluate the feasibility of anterior lobe-preserving transurethral enucleation and resection of prostate (ALP-TUERP) on reducing the incidence rate of urinary incontinence after surgery in patients with BPH. Patients diagnosed with BPH underwent surgical treatment were enrolled in the present study within the inclusion criteria. Characteristics including age, prostate volume (before surgery), PSA level, maximum free flow rate, international prostate symptom score, and quality of life were reviewed and compared between the groups of ALP-TUERP and TUERP. Incidence rate of urinary incontinence on 24 hours, 3 days, 7 days, and 14 days after catheter drawing was deemed as main outcome, which was compared between the groups. In addition, secondary outcomes including surgery time, difference value of hemoglobin before and after surgery (∆Hemoglobin), catheter retaining time, catheter flushing time, and incidence rate of recurrent bleeding were also compared between the groups. There were 81 patients included in the present study within the inclusion criteria. There was no statistical difference on the baseline characteristics including age, prostate volume (before surgery), PSA level, maximum free flow rate (before surgery), international prostate symptom score, or quality of life between the 2 groups. Statistical superiority was observed on the incidence rate of urinary incontinence on day 1 (χ 2 = 9.375, P = .002), and day 3 (χ 2 = 4.046, P = .044) in the group ALP-TUERP, when comparing to group TUERP. However, the difference was not observed anymore after 7 days after catheter drawing (P = .241 for day 7, P = .494 for day 14) between them. In addition, no statistical differences were observed on surgery time, difference value of hemoglobin before and after surgery (∆Hemoglobin), catheter retaining time, or catheter flushing time between the group ALP-TUERP and TUERP (all P > .05). Results of the present study demonstrated a potentially statistical superiority of ALP-TUERP on the reduction of incidence rate of urinary incontinence comparing to conventionally TUERP.Abbreviations: ALP-TUERP = anterior lobe-preserving transurethral enucleation and resection of prostate, BPH = benign prostatic hyperplasia, IPSS = international prostate symptom score, LUTS = lower urinary tract symptoms, QoL = quality of life, TUERP = transurethral enucleation and resection of prostate.

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Section: Discussionmentioning

confidence: 99%

Feasibility of anterior lobe-preserving transurethral enucleation and resection of prostate on improving urinary incontinence in patients with benign prostatic hyperplasia: A retrospective cohort study

Huang

Chen

et al. 2023

Medicine

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“…According to KDIGO, AKI is defined as an increase of ≥0.3 mg/dl in serum creatinine within 48 hours or a 1.5-fold increase in serum creatinine from baseline within seven days or urine output of <0.5 ml/ kg/h in the last 6 hours. 8 Postoperative acute kidney injury is defined as AKI occurring within 7 days of an operative intervention using the Kidney Disease Improving Global Outcomes (KDIGO) definition of AKI. 5 In our patients, no classification was made regarding the day on which AKI developed in the first 7 days.…”

Section: Methodsmentioning

confidence: 99%

Retrospective investigation of acute kidney injury in postoperative patients in ICU

MECİT

2023

Journal of Health Sciences and Medicine

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Aims: The development of acute kidney injury (AKI) in the postoperative period is associated with increased morbidity and mortality. This study aims to determine the incidence of postoperative acute kidney injury (AKI) and the factors affecting the development of AKI in the intensive care unit (ICU) and to evaluate the outcomes of the patients. Methods: Postoperative patients hospitalized in the ICU between December 2021 and January 2023 were retrospectively analyzed, and 192 patients were included in the study. Kidney disease: patients with and without AKI were identified using the improving global outcomes (KDIGO) criteria. Results: While 150 of the patients did not develop AKI (non-AKI group), 42 of them developed acute kidney injury (AKI group). The patients were operated on mostly by the orthopedics clinic (58.9%) and operated on at least by the urology clinic (2.1%) were taken to the intensive care unit. 39.6% of the patients underwent emergency surgery, and 60.4% underwent elective surgery. 57.1% of the AKI group and 34.7% of the non-AKI group had emergency surgery (p=0.008). Conclusion: In our study, age, timing of surgery, use of diuretics, and use of vasopressors were found to be associated with the development of postoperative AKI. In addition, comorbid diseases such as diabetes mellitus, hypertension, coronary artery disease, and cerebrovascular disease have also been found to be associated with AKI. Mortality, length of stay in the intensive care unit, and need for mechanical ventilation (MV) were also higher in our postoperative intensive care patients who developed AKI than in patients who did not develop AKI.

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Association between early postradical cystectomy kidney injury and perioperative outcome in enhanced recovery era

Sobhani¹,

Alsyouf²,

Ahmadi³

et al. 2023

Urologic Oncology: Seminars and Original Investigations

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The role of enhanced recovery after surgery protocols in the development of acute kidney injury following radical cystectomy

Cited by 5 publications

References 21 publications

Feasibility of anterior lobe-preserving transurethral enucleation and resection of prostate on improving urinary incontinence in patients with benign prostatic hyperplasia: A retrospective cohort study

Feasibility of anterior lobe-preserving transurethral enucleation and resection of prostate on improving urinary incontinence in patients with benign prostatic hyperplasia: A retrospective cohort study

Retrospective investigation of acute kidney injury in postoperative patients in ICU

Association between early postradical cystectomy kidney injury and perioperative outcome in enhanced recovery era

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