Reconstructive Urology & Men's Health
Table 1: Total number of urinary diversion and bladder augmentation surgeries. These were surgeries done by Dr. Myers at The Center for Reconstructive Urology and Men’s Health at University of Utah. This is comparable or much greater than most large centers in the United States.
|Year||Urinary Diversion||Bladder Augmentation Surgery||Total|
Figure 2: The causes of bladder dysfunction in patients leading to bladder augmentation or urinary diversion surgery. Other neurologic conditions included: cerebral palsy, spina bifida, multiple sclerosis, Parkinson’s disease, interstitial cystitis and a variety of other problems. This data includes all patients from 2010 and 2011.
Table 2: Complicating factors in many patients undergoing bladder augmentation surgery or urinary diversion surgery.
|Previous urinary diversion or bladder augmentation||11||11|
|Total complex patients||16/51(31%)||17/50(31%)|
Table 3: The complications of bladder augmentation or urinary diversion. Many patients that needed re-operation or died had complicating factors like being severely debilitated or had radiation damage. The reason for readmission included problems like urinary tract infection, dehydration, bowel obstruction and often resolved with IV hydration and antibiotics.
|Readmitted to the hospital within 90 days||13 (25%)||13 (24%)|
|Re-operated within 42 days||8 (16%)||4 (7%)|
|Patients Died within 90 days||2 (4%)||2 (4%)|