MP56-16 PARASTOMAL HERNIA AFTER RADICAL CYSTECTOMY WITH ILEAL CONDUIT: NATURAL HISTORY AND CLINICAL RISK FACTORS

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP56-16 PARASTOMAL HERNIA AFTER RADICAL CYSTECTOMY WITH ILEAL CONDUIT: NATURAL HISTORY AND CLINICAL RISK FACTORS Alberto Tello Delsors, Tarek Ajami, Raul Martos Calvo, Mireia Musquera Felip, Monica Peradejordi Font, Laura Izquierdo Reyes, Antoni Vilaseca Cabo, Maria Jose Ribal Caparros, Laura Buñesch, Diego Choque, Mario Matute, and Antonio Alcaraz Asensio Alberto Tello DelsorsAlberto Tello Delsors More articles by this author , Tarek AjamiTarek Ajami More articles by this author , Raul Martos CalvoRaul Martos Calvo More articles by this author , Mireia Musquera FelipMireia Musquera Felip More articles by this author , Monica Peradejordi FontMonica Peradejordi Font More articles by this author , Laura Izquierdo ReyesLaura Izquierdo Reyes More articles by this author , Antoni Vilaseca CaboAntoni Vilaseca Cabo More articles by this author , Maria Jose Ribal CaparrosMaria Jose Ribal Caparros More articles by this author , Laura BuñeschLaura Buñesch More articles by this author , Diego ChoqueDiego Choque More articles by this author , Mario MatuteMario Matute More articles by this author , and Antonio Alcaraz AsensioAntonio Alcaraz Asensio More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003309.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Parastomal hernia (PH) represents an important late complication after radical cystectomy that affects patient´s quality of life. Our objective is to analyze the prevalence of clinical and radiologic PH and identify risk factors. METHODS: We retrospectively analyzed RC patients with ileal conduit, from 2016 till 2021 with minimum one year follow-up. Independent radiologists analyzed the presence of radiologic PH at first year CT scan, using both Moreno-Matias (M-M) and European Hernia Society (EHS) classification. Multivariate regression was performed to identify clinical and surgical factors (surgical approach, fixation to aponeurosis, surgical time.) associated with PH RESULTS: A total of 161 patients underwent RC with ileal conduit were included, with mean age at surgery of 69 (SD=7,5). 55% (n=90) were done robot assisted, 15% (29) laparoscopically and 25% (46) open. 21 (13%) patients had clinical PH, with mean time to diagnosis of 23 months. Prevalence of radiologic hernia was 43% (70 patients). Both M-M and EHS classifications were correlated to the presence of clinical PH. On multivariate regression, BMI was independent predictor of radiologic PH (HR=1.056 for every unit). Neither surgical approach (open, robot or laparoscopic) nor surgical fixation of the ileal conduit to the aponeurosis were associated to radiologic PH. CONCLUSIONS: Radiologic PH is a prevalent finding on first year after RC, while clinical PH is found in 12% of the patients. In our series, only BMI was an independent predictor. Surgical technique was not associated with the risk of PH development. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e781 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alberto Tello Delsors More articles by this author Tarek Ajami More articles by this author Raul Martos Calvo More articles by this author Mireia Musquera Felip More articles by this author Monica Peradejordi Font More articles by this author Laura Izquierdo Reyes More articles by this author Antoni Vilaseca Cabo More articles by this author Maria Jose Ribal Caparros More articles by this author Laura Buñesch More articles by this author Diego Choque More articles by this author Mario Matute More articles by this author Antonio Alcaraz Asensio More articles by this author Expand All Advertisement PDF downloadLoading ...