1051 PERI-OPERATIVE MORBIDITY RELATED TO BOWEL PREPARATION BEFORE ILEAL USE FOR LOWER URINARY TRACT RECONSTRUCTIVE PROCEDURES: A RANDOMIZED PROSPECTIVE STUDY

Abstract

Bowel preparation is routine before large bowel use for reconstructive urological procedures. However, surgeons may finally resort to small bowel use. In these situations, added morbidity of the unnecessary bowel preparation has been questioned. This study prospectively evaluates the peri-operative morbidity added by bowel preparation before ileal reconstructive procedures of the lower urinary tract. Forty patients were prepared for ileal urinary diversion after getting informed consent. They were prospectively randomized into 2 groups. Group (I) was subjected to standard 3days bowel preparation (using laxatives, enemas and antibiotics)1. Group (II) was subjected to over-night fasting before surgery. Preand post-operative complete laboratory workup including: complete blood counts, serum electrolytes levels, kidney & liver function tests. A 1 ml of ileal secretions was collected intra-operatively for aerobic and anaerobic cultures. Bacterial overgrowth is diagnosed when the number of bacterial colonies cultured exceeds 105 /mL fluid in the small intestine2. A tissue specimen from the ileum was sent for histopathology. Post-operative complications concerning wound and tissue healing were reported.