Stent vs Stentless Ileal Conduits After Radical Cystectomy: Is There a Difference in Early Postoperative Outcomes?
Publication/Presentation Date
1-1-2025
Abstract
INTRODUCTION: Placing ureteral stents at the ureteroileal anastomosis for radical cystectomy with ileal conduit (RCIC) has long been common practice. Recently, some providers have begun omitting stents. We sought to investigate differences in perioperative and 30-day outcomes between patients who underwent RCIC with and without stents placed at the ureteroileal anastomosis.
METHODS: We identified RCICs performed between 2019 and 2021 in the National Surgical Quality Improvement Program database and corresponding Cystectomy-Targeted Participant Use File. Baseline demographics, comorbidities, and operative parameters were compared via Pearson's χ
RESULTS: A total of 5418 RCICs were identified. Four hundred ninety-eight (9.2%) were stentless. There were no differences in baseline demographics or comorbidities. Significantly fewer stented patients had robotic-assisted operations (23% vs 29%,
CONCLUSIONS: Stentless patients had noninferior outcomes compared to stented patients in most important 30-day outcomes. Our analysis suggests that stents may not be necessary in ileal conduit urinary diversion procedures.
Volume
12
Issue
1
First Page
139
Last Page
146
ISSN
2352-0787
Published In/Presented At
Shah, M. S., Hochberg, A. R., Prebay, Z. J., Shah, Y. B., Im, B. H., Simhal, R. K., Givner, D., Wang, K. R., Simon, D. P., Mark, J. R., Metwalli, A. R., & Lallas, C. D. (2025). Stent vs Stentless Ileal Conduits After Radical Cystectomy: Is There a Difference in Early Postoperative Outcomes?. Urology practice, 12(1), 139–146. https://doi.org/10.1097/UPJ.0000000000000702
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
39240682
Department(s)
Administration and Leadership
Document Type
Article