Presence of transient hydronephrosis immediately after surgery has a limited influence on renal function 1 year after ileal neobladder construction
Abstract Background Urinary tract obstruction and postoperative hydronephrosis are risk factor for renal function deterioration after orthotopic ileal neobladder construction. However, reports of relationship between transient hydronephrosis and renal function are limited. We assess the influence of...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-08-01
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| Series: | BMC Urology |
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| Online Access: | http://link.springer.com/article/10.1186/s12894-017-0263-x |
| _version_ | 1818068261588172800 |
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| author | Takuma Narita Shingo Hatakeyama Takuya Koie Shogo Hosogoe Teppei Matsumoto Osamu Soma Hayato Yamamoto Tohru Yoneyama Yuki Tobisawa Takahiro Yoneyama Yasuhiro Hashimoto Chikara Ohyama |
| author_facet | Takuma Narita Shingo Hatakeyama Takuya Koie Shogo Hosogoe Teppei Matsumoto Osamu Soma Hayato Yamamoto Tohru Yoneyama Yuki Tobisawa Takahiro Yoneyama Yasuhiro Hashimoto Chikara Ohyama |
| author_sort | Takuma Narita |
| collection | DOAJ |
| description | Abstract Background Urinary tract obstruction and postoperative hydronephrosis are risk factor for renal function deterioration after orthotopic ileal neobladder construction. However, reports of relationship between transient hydronephrosis and renal function are limited. We assess the influence of postoperative transient hydronephrosis on renal function in patients with orthotopic ileal neobladder construction. Methods Between January 2006 and June 2013, we performed radical cystectomy in 164 patients, and 101 received orthotopic ileal neobladder construction. This study included data available from 64 patients with 128 renal units who were enrolled retrospectively. The hydronephrosis grade of each renal unit scored 0–4. The patients were divided into 4 groups according to the grade of hydronephrosis: control, low, intermediate, and high. The grade of postoperative hydronephrosis was compared with renal function 1 month and 1 year after surgery. Results There were no significant differences in renal function before surgery between groups. One month after surgery, the presence of hydronephrosis was significantly associated with decreased renal function. However, 1 year after urinary diversion hydronephrosis grades were improved significantly, and renal function was comparable between groups. Postoperative hydronephrosis at 1 month had no significant influence on renal function 1 year after ileal neobladder construction. Limitations include retrospective design, short follow-up periods, and a sample composition. Conclusions The presence of transient hydronephrosis immediately after surgery may have limited influence on renal function 1 year after ileal neobladder construction. |
| first_indexed | 2024-12-10T15:36:46Z |
| format | Article |
| id | doaj.art-98a352aa1cda4a7e8123ce16dd871c2a |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-12-10T15:36:46Z |
| publishDate | 2017-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-98a352aa1cda4a7e8123ce16dd871c2a2022-12-22T01:43:12ZengBMCBMC Urology1471-24902017-08-011711810.1186/s12894-017-0263-xPresence of transient hydronephrosis immediately after surgery has a limited influence on renal function 1 year after ileal neobladder constructionTakuma Narita0Shingo Hatakeyama1Takuya Koie2Shogo Hosogoe3Teppei Matsumoto4Osamu Soma5Hayato Yamamoto6Tohru Yoneyama7Yuki Tobisawa8Takahiro Yoneyama9Yasuhiro Hashimoto10Chikara Ohyama11Department of Urology, Hirosaki University Graduate School of MedicineDepartment of Urology, Hirosaki University Graduate School of MedicineDepartment of Urology, Hirosaki University Graduate School of MedicineDepartment of Urology, Hirosaki University Graduate School of MedicineDepartment of Urology, Hirosaki University Graduate School of MedicineDepartment of Urology, Hirosaki University Graduate School of MedicineDepartment of Urology, Hirosaki University Graduate School of MedicineDepartment of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of MedicineDepartment of Urology, Hirosaki University Graduate School of MedicineDepartment of Urology, Hirosaki University Graduate School of MedicineDepartment of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of MedicineDepartment of Urology, Hirosaki University Graduate School of MedicineAbstract Background Urinary tract obstruction and postoperative hydronephrosis are risk factor for renal function deterioration after orthotopic ileal neobladder construction. However, reports of relationship between transient hydronephrosis and renal function are limited. We assess the influence of postoperative transient hydronephrosis on renal function in patients with orthotopic ileal neobladder construction. Methods Between January 2006 and June 2013, we performed radical cystectomy in 164 patients, and 101 received orthotopic ileal neobladder construction. This study included data available from 64 patients with 128 renal units who were enrolled retrospectively. The hydronephrosis grade of each renal unit scored 0–4. The patients were divided into 4 groups according to the grade of hydronephrosis: control, low, intermediate, and high. The grade of postoperative hydronephrosis was compared with renal function 1 month and 1 year after surgery. Results There were no significant differences in renal function before surgery between groups. One month after surgery, the presence of hydronephrosis was significantly associated with decreased renal function. However, 1 year after urinary diversion hydronephrosis grades were improved significantly, and renal function was comparable between groups. Postoperative hydronephrosis at 1 month had no significant influence on renal function 1 year after ileal neobladder construction. Limitations include retrospective design, short follow-up periods, and a sample composition. Conclusions The presence of transient hydronephrosis immediately after surgery may have limited influence on renal function 1 year after ileal neobladder construction.http://link.springer.com/article/10.1186/s12894-017-0263-xeGFRHydronephrosisIleal neobladderRadical cystectomyRenal function |
| spellingShingle | Takuma Narita Shingo Hatakeyama Takuya Koie Shogo Hosogoe Teppei Matsumoto Osamu Soma Hayato Yamamoto Tohru Yoneyama Yuki Tobisawa Takahiro Yoneyama Yasuhiro Hashimoto Chikara Ohyama Presence of transient hydronephrosis immediately after surgery has a limited influence on renal function 1 year after ileal neobladder construction BMC Urology eGFR Hydronephrosis Ileal neobladder Radical cystectomy Renal function |
| title | Presence of transient hydronephrosis immediately after surgery has a limited influence on renal function 1 year after ileal neobladder construction |
| title_full | Presence of transient hydronephrosis immediately after surgery has a limited influence on renal function 1 year after ileal neobladder construction |
| title_fullStr | Presence of transient hydronephrosis immediately after surgery has a limited influence on renal function 1 year after ileal neobladder construction |
| title_full_unstemmed | Presence of transient hydronephrosis immediately after surgery has a limited influence on renal function 1 year after ileal neobladder construction |
| title_short | Presence of transient hydronephrosis immediately after surgery has a limited influence on renal function 1 year after ileal neobladder construction |
| title_sort | presence of transient hydronephrosis immediately after surgery has a limited influence on renal function 1 year after ileal neobladder construction |
| topic | eGFR Hydronephrosis Ileal neobladder Radical cystectomy Renal function |
| url | http://link.springer.com/article/10.1186/s12894-017-0263-x |
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