PD44-08 LONG-TERM MORBIDITY ASSOCIATED WITH SURGICAL MANAGEMENT OF UROSYMPHYSEAL FISTULA

• DOI: 10.1097/01.ju.0001008800.83683.92.08
• Publication Date: 2024-04-15T21:33:57Z
• Authors: Alexandr M. Pinkh...; Jayson Kemble; Anthony E. Fadel; Elizabeth Bearrick; Boyd R. Viers
• Keywords: Urinary Fistula

You have accessJournal of UrologyReconstruction: Ureteral Reconstruction (Including Pyeloplasty) and Bladder Trauma-Related Fistula) II (PD44)1 May 2024PD44-08 LONG-TERM MORBIDITY ASSOCIATED WITH SURGICAL MANAGEMENT OF UROSYMPHYSEAL FISTULA Alexandr M. Pinkhasov, Jayson Kemble, Anthony E. Fadel, Elizabeth Bearrick, Boyd R. Viers PinkhasovAlexandr Pinkhasov , KembleJayson Kemble FadelAnthony Fadel BearrickElizabeth Bearrick ViersBoyd View All Author Informationhttps://doi.org/10.1097/01.JU.0001008800.83683.92.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urosymphyseal fistula (USF) is a profoundly debilitating disease process that characterized by communication between the urinary tract (bladder or prostate) pubic bone. Curative surgical therapy includes cystectomy with diversion excision bladder neck reconstruction, bone debridement, vascularized tissue flap interposition. There paucity scientific literature regarding long-term outcomes for these patients. We aim identify characterize factors associated morbidity definitive USF treatment. METHODS: Retrospective chart review single institution database identified 57 patients who underwent operative treatment 2009-2022 with>90 days follow-up. Morbidity related surgery was assessed up 10 years postoperatively. Statistical analysis performed using fishers exact Mann Whitney-U tests. RESULTS: A total at median age 71 old (IQR 66-75) presented ultimately open 50 (88%) robotic 7 (12%) repair. Delayed (>90 d) post complications requiring major intervention occurred time 11 months 6-18). Twelve (21%) required image-guided drain placement, 5 (9%) nephrostomy tubes, 14 (24%) additional surgery. Hernia noted in 15 (26%) 12 (6-27). The use omentum, VRAM, no made difference hernia occurrence type (p>0.05). Pre-operative albumin of<3.5 mg/dL width resection not formation. history tobacco significant (p=0.05). Recurrent osteomyelitis 6 (11%) 4.5 months. Patients recurrent had smaller (48 mm vs 73 mm, p=0.03). pelvic abscess formation more common did interposition, 4 (40%), than those did, 47 (p=0.03). New worsening sacral insufficiency (SI) fracture (25%) diagnosed 2.5 developing new SI Ultimately, pain resolved 40 (70%), 49 (86%) men were able discontinue antibiotic therapy. CONCLUSIONS: While repair long term including need reintervention, formation, infection, fracture, most are rendered free infection improvement life quality following Source Funding: N/A © 2024 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e908 Advertisement Copyright & Permissions© Inc.Metrics Information More articles this author Expand PDF downloadLoading ...