Thirty-day Morbidity and Mortality after Radical Cystectomy in Carcinoma Urinary Bladder; A Single Centre Experience

Authors

  • Anwaar Ahmad Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan,
  • Muhammad Rafiq Zafar Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Adnan Ali Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Omer Riaz Department of Medicine, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Abdul Jabbar Arif Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Abu Sufyan Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.7717

Keywords:

Clavien-dindo grading system, Carcinoma urinary bladder, Radical cystectomy

Abstract

Objective: To determine the 30-day morbidity and mortality after radical cystectomy in carcinoma urinary bladder using a
validated system.

Study Design: Retrospective longitudinal study.

Place and Duration of study: Armed Forces Institute of Urology, Rawalpindi Pakistan, from Jun 2016 to Jul 2021.

Methodology: After Institutional Ethical Review Board approval, data of all patients of carcinoma urinary bladder who
underwent radical cystectomy during five years at Armed Forces Institute of Urology, was collected. Data was retrieved
retrospectively from the hospital operative database, indoor patient records and by contacting the patients on their given
telephone numbers.

Results: In the study population (n=39), a male preponderance was found (36,92.3%). Mean age was 56.7±8.96 years (range 32-72). 26(66.7%) patients were smokers and 16(41%) received neoadjuvant chemotherapy. 9(23.7%) patients had Clavien-DindoGrade-I complications, 6(15.38%) had Grade-II, 2(5.12%) had Grade- IIIA, 2(5.12%) Grade IIIB, 1(2.56%) Grade-IVA, 1(2.56%)had Grade IVB, 2(5.12%) had Grade V complications. The total complications were 23(58.97%), and 16(41.03%) patients had nopost-operative complications. 21(53.85%) patients had less than 14 days post-op operative hospital stay, and 18(46.15%) hadmore than 14 days post-op operative hospital stay.

Conclusion: Radical cystectomy is still associated with high early post-op mortality and morbidity. Careful patient selection
and thorough counselling before the procedure are very important.

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Published

28-12-2023

How to Cite

Ahmad, A., Muhammad Rafiq Zafar, Ali, A., Riaz, O., Arif, A. J., & Sufyan, A. (2023). Thirty-day Morbidity and Mortality after Radical Cystectomy in Carcinoma Urinary Bladder; A Single Centre Experience. Pakistan Armed Forces Medical Journal, 73(6), 1640–1643. https://doi.org/10.51253/pafmj.v73i6.7717

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