PD12-02 SPECIFIC PREDISPOSING RISK FACTORS FOR THE DEVELOPMENT OF URETEROENTERIC STRICTURES AFTER OPEN RADICAL CYSTECTOMY AND ILEAL NEOBLADDER DIVERSION

INTRODUCTION AND OBJECTIVES: Stricture of the ureteroenteric anastomosis is a complication after cystectomy with urinary diversion. Relatively little has been reported on the perioperative course during surgical repair of a ureteroenteric anastomosis. Adhesions can increase the risk of bowel injury and necessitate concomitant bowel repair. We hypothesized that the need for concomitant bowel surgery during revision of a ureteroenteric anastomosis is associated with adverse perioperative outcomes. METHODS: The National Inpatient Sample (2002-2012) was used to identify patients requiring revision of ureteroenteric anastomosis, excluding patients 0.2). Overall complication rate was 50%, with 19% UTI, 17% bleeding and 3% venous thromboembolism. Of these, only overall complications (65% vs 41%, p 0.1). Undergoing concomitant bowel surgery (OR 2.8 [1.2-6.2], p1⁄40.02) was the only independent risk factor for complications during ureteral reimplantation after controlling for demographics, clinical and hospital characteristics. CONCLUSIONS: Reimplantation of a ureteroenteric anastomosis was associated with a 50% complication rate. There were no demographic or clinical factors associated with need for concomitant bowel surgery, which was necessary in 35% of patients. Undergoing a concomitant bowel procedure was an independent predictor for perioperative complications.