Bowel Preparation and Peri-operative Management for Radical Cystectomy in Turkey: Turkish Urooncology Association Multicenter Survey
PURPOSE: To investigate the preferences and practice patterns of urooncologicsurgeons in Turkey on bowel preparation and peri-operative management forradical cystectomy.MATERIALS AND METHODS: This study was conducted by Turkish Uro oncology Association as a multicenter survey. Participants were aske...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
2011-06-01
|
| Series: | Urology Journal |
| Subjects: | |
| Online Access: | http://www.urologyjournal.org/index.php/uj/article/view/1021/547 |
| _version_ | 1818176145623875584 |
|---|---|
| author | Bulent Gunlusoy Levent Turkeri Cag Cal Sumer Baltaci Guven Aslan Oztug Adsan |
| author_facet | Bulent Gunlusoy Levent Turkeri Cag Cal Sumer Baltaci Guven Aslan Oztug Adsan |
| author_sort | Bulent Gunlusoy |
| collection | DOAJ |
| description | PURPOSE: To investigate the preferences and practice patterns of urooncologicsurgeons in Turkey on bowel preparation and peri-operative management forradical cystectomy.MATERIALS AND METHODS: This study was conducted by Turkish Uro oncology Association as a multicenter survey. Participants were asked to fill in questionnairesdispensed at annual oncologic meeting or using internet access to the website of Urooncology Association. The questionnaire consisted of multiplechoice or open-ended questions related to frequency of cystectomy, surgicaltechnique and type of diversion, bowel preparation protocol, nasogastric tubeapplications, antibiotic prophylaxis, and deep vein thrombosis prophylaxis.Collected data from the survey were presented descriptively.RESULTS: Forty-four questionnaires from 44 surgeons of different centerswere evaluated. All participants answered that they always perform bowelpreparation before cystectomy. Four participants reported that they had anexperience of cystectomy without bowel preparation. Bowel preparationmethods included long conservative methods, short enema protocols, and Golytely, but there were significant differences in application of each method.Of participants, 88.6% perform diversion by themselves whereas others askhelp from a general surgeon. Antibiotic prophylaxis is preferred mostly by 2agents using third-generation cephalosporins and metronidazole for a periodof 5 days or more in the majority. Type, duration, and dosage of deep veinthrombosis prophylaxis differed among participants.CONCLUSION: There are significant individual differences in peri-operativemanagement of radical cystectomy, which render deficient and sometimesinadequate patient care. There is a need to establish standard protocols forbowel preparation and adequate peri-operative management for radicalcystectomy. |
| first_indexed | 2024-12-11T20:11:32Z |
| format | Article |
| id | doaj.art-55f0730bc30143ffa9cf51ecdfe35a6e |
| institution | Directory Open Access Journal |
| issn | 1735-1308 1735-546X |
| language | English |
| last_indexed | 2024-12-11T20:11:32Z |
| publishDate | 2011-06-01 |
| publisher | Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Urology Journal |
| spelling | doaj.art-55f0730bc30143ffa9cf51ecdfe35a6e2022-12-22T00:52:17ZengUrology and Nephrology Research Center, Shahid Beheshti University of Medical SciencesUrology Journal1735-13081735-546X2011-06-0182113119Bowel Preparation and Peri-operative Management for Radical Cystectomy in Turkey: Turkish Urooncology Association Multicenter SurveyBulent GunlusoyLevent TurkeriCag CalSumer BaltaciGuven AslanOztug AdsanPURPOSE: To investigate the preferences and practice patterns of urooncologicsurgeons in Turkey on bowel preparation and peri-operative management forradical cystectomy.MATERIALS AND METHODS: This study was conducted by Turkish Uro oncology Association as a multicenter survey. Participants were asked to fill in questionnairesdispensed at annual oncologic meeting or using internet access to the website of Urooncology Association. The questionnaire consisted of multiplechoice or open-ended questions related to frequency of cystectomy, surgicaltechnique and type of diversion, bowel preparation protocol, nasogastric tubeapplications, antibiotic prophylaxis, and deep vein thrombosis prophylaxis.Collected data from the survey were presented descriptively.RESULTS: Forty-four questionnaires from 44 surgeons of different centerswere evaluated. All participants answered that they always perform bowelpreparation before cystectomy. Four participants reported that they had anexperience of cystectomy without bowel preparation. Bowel preparationmethods included long conservative methods, short enema protocols, and Golytely, but there were significant differences in application of each method.Of participants, 88.6% perform diversion by themselves whereas others askhelp from a general surgeon. Antibiotic prophylaxis is preferred mostly by 2agents using third-generation cephalosporins and metronidazole for a periodof 5 days or more in the majority. Type, duration, and dosage of deep veinthrombosis prophylaxis differed among participants.CONCLUSION: There are significant individual differences in peri-operativemanagement of radical cystectomy, which render deficient and sometimesinadequate patient care. There is a need to establish standard protocols forbowel preparation and adequate peri-operative management for radicalcystectomy.http://www.urologyjournal.org/index.php/uj/article/view/1021/547urinary bladder neoplasmurinary diversionperioperative carepostoperative complications |
| spellingShingle | Bulent Gunlusoy Levent Turkeri Cag Cal Sumer Baltaci Guven Aslan Oztug Adsan Bowel Preparation and Peri-operative Management for Radical Cystectomy in Turkey: Turkish Urooncology Association Multicenter Survey Urology Journal urinary bladder neoplasm urinary diversion perioperative care postoperative complications |
| title | Bowel Preparation and Peri-operative Management for Radical Cystectomy in Turkey: Turkish Urooncology Association Multicenter Survey |
| title_full | Bowel Preparation and Peri-operative Management for Radical Cystectomy in Turkey: Turkish Urooncology Association Multicenter Survey |
| title_fullStr | Bowel Preparation and Peri-operative Management for Radical Cystectomy in Turkey: Turkish Urooncology Association Multicenter Survey |
| title_full_unstemmed | Bowel Preparation and Peri-operative Management for Radical Cystectomy in Turkey: Turkish Urooncology Association Multicenter Survey |
| title_short | Bowel Preparation and Peri-operative Management for Radical Cystectomy in Turkey: Turkish Urooncology Association Multicenter Survey |
| title_sort | bowel preparation and peri operative management for radical cystectomy in turkey turkish urooncology association multicenter survey |
| topic | urinary bladder neoplasm urinary diversion perioperative care postoperative complications |
| url | http://www.urologyjournal.org/index.php/uj/article/view/1021/547 |
| work_keys_str_mv | AT bulentgunlusoy bowelpreparationandperioperativemanagementforradicalcystectomyinturkeyturkishurooncologyassociationmulticentersurvey AT leventturkeri bowelpreparationandperioperativemanagementforradicalcystectomyinturkeyturkishurooncologyassociationmulticentersurvey AT cagcal bowelpreparationandperioperativemanagementforradicalcystectomyinturkeyturkishurooncologyassociationmulticentersurvey AT sumerbaltaci bowelpreparationandperioperativemanagementforradicalcystectomyinturkeyturkishurooncologyassociationmulticentersurvey AT guvenaslan bowelpreparationandperioperativemanagementforradicalcystectomyinturkeyturkishurooncologyassociationmulticentersurvey AT oztugadsan bowelpreparationandperioperativemanagementforradicalcystectomyinturkeyturkishurooncologyassociationmulticentersurvey |