Table 2.
Frequency and incidence of complications after RC and urinary diversion, 1990–2008
| All (N = 5136) | With ileal conduit (N = 2918) | With continent cutaneous reservoir (N = 540) | With orthotopic neobladder (N = 731) | Undefined urinary diversion (N = 947) | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| N(%) | Incidence per 1000 py | N(%) | Incidence per 1000 py | N(%) | Incidence per 1000 py | N(%) | Incidence per 1000 py | N(%) | Incidence per 1000 py | |
| Bowel obstruction: | 50.78 | 59.13 | 52.51 | 31.96 | 48.76 | |||||
| 0 | 4377 (85.22) | 2497 (85.57) | 445 (82.41) | 647 (88.51) | 788 (83.21) | |||||
| 1 | 569 (11.08) | 319 (10.93) | 66 (12.22) | 63 (8.62) | 121 (12.78) | |||||
| 2 | 115 (2.24) | 54 (1.85) | 22 (4.07) | 13 (1.78) | 26 (2.75) | |||||
| 3+ | 75 (1.46) | 48 (1.64) | 7 (1.30) | 8 (1.09) | 12 (1.27) | |||||
| UTI/septicaemia: | 127.30 | 130.61 | 131.61 | 139.62 | 107.12 | |||||
| 0 | 3465 (67.46) | 2040 (69.91) | 338 (62.59) | 440 (60.19) | 647 (68.32) | |||||
| 1 | 1043 (20.31) | 565 (19.36) | 114 (21.11) | 167 (22.85) | 197 (20.80) | |||||
| 2 | 369 (7.18) | 203 (6.96) | 50 (9.26) | 68 (9.30) | 48 (5.07) | |||||
| 3+ | 259 (5.04) | 110 (3.77) | 38 (7.04) | 56 (7.66) | 55 (5.81) | |||||
| Inguinal hernia: | 11.15 | 11.25 | 5.80 | 15.46 | 10.75 | |||||
| 0 | 4982 (97.00) | 2842 (97.40) | 528 (97.78) | 696 (95.21) | 916 (96.73) | |||||
| 1 | 90 (1.75) | 48 (1.64) | 7 (1.30) | 19 (2.60) | 16 (1.69) | |||||
| 2 | 42 (0.82) | 15 (0.51) | 5 (0.93) | 11 (1.50) | 11 (1.116) | |||||
| 3+ | 22 (0.43) | 13 (0.45) | 0 (0.00) | 5 (0.68) | 4 (0.42) | |||||
| Nephrostomy tube: | 17.28 | 17.25 | 16.02 | 20.96 | 15.18 | |||||
| 0 | 4858 (94.59) | 2772 (95.00) | 511 (94.63) | 675 (92.34) | 900 (95.04) | |||||
| 1 | 204 (3.97) | 112 (3.84) | 18 (3.33) | 42 (5.75) | 32 (3.38) | |||||
| 2 | 53 (1.03) | 28 (0.96) | 6 (1.11) | 7 (0.96) | 12 (1.27) | |||||
| 3+ | 21 (0.41) | 6 (0.21) | 5 (0.93) | 7 (0.96) | 3 (0.32) | |||||
| Hydronephrosis due to ureteric stricture: | 39.89 | 38.74 | 52.17 | 43.49 | 32.05 | |||||
| 0 | 4697 (91.45) | 2709 (92.84) | 477 (88.33) | 644 (88.10) | 867 (91.55) | |||||
| 1 | 248 (4.83) | 111 (3.80) | 32 (5.93) | 54 (7.39) | 51 (5.39) | |||||
| 2 | 99 (1.93) | 51 (1.75) | 16 (2.96) | 16 (2.19) | 16 (1.69) | |||||
| 3+ | 92 (1.79) | 47 (1.61) | 15 (2.78) | 17 (2.33) | 13 (1.37) | |||||
| Wound hernia/hernia of the abdominal wall: | 21.49 | 21.77 | 24.21 | 22.00 | 18.77 | |||||
| 0 | 4859 (94.61) | 2784 (95.41) | 495 (91.67) | 686 (93.84) | 894 (94.40) | |||||
| 1 | 163 (3.17) | 77 (2.64) | 28 (5.19) | 25 (3.42) | 33 (3.48) | |||||
| 2+ | 114 (2.22) | 57 (1.95) | 17 (3.15) | 20 (2.72) | 20 (2.11) | |||||
| Stones in the urinary tract | 28.70 | 19.74 | 52.51 | 37.46 | 27.41 | |||||
| 0 | 4772 (92.91) | 2781 (95.31) | 457 (84.63) | 663 (90.70) | 871 (91.97) | |||||
| 1 | 241 (4.69) | 106 (3.63) | 49 (9.07) | 33 (4.51) | 53 (5.60) | |||||
| 2 | 65 (1.27) | 17 (0.58) | 22 (4.07) | 18 (2.46) | 8 (0.84) | |||||
| 3+ | 58 (1.13) | 14 (0.48) | 12 (2.22) | 17 (2.33) | 15 (1.58) | |||||
| Kidney failure: | 53.15 | 54.88 | 55.92 | 43.22 | 55.46 | |||||
| 0 | 4706 (91.63) | 2677 (91.74) | 491 (90.93) | 677 (92.61) | 861 (90.92) | |||||
| 1 | 430 (8.37) | 241 (8.26) | 49 (9.07) | 54 (7.39) | 86 (9.08) | |||||
| Death: | 145.07 | 181.62 | 98.19 | 84.88 | 138.96 | |||||
| No | 1896 (36.92) | 949 (32.52) | 252 (46.67) | 677 (92.61) | 288 (30.41) | |||||
| Yes | 3240 (63.08) | 1969 (67.48) | 288 (53.33) | 54 (7.39) | 659 (69.59) | |||||