Incidence and treatment of urological complications after total pelvic exenteration for advanced pelvic tumors
Abstract
Major statement: Total pelvic exenteration is an extensive performance with a high incidence of urological complications. The acute solution is urinary nephrostomy and once the patient is in remission then proceeding to stent or reanastomosis.
The aim: To evaluate the incidence of urological complications in patients after total pelvic exenteration for advanced tumors of the small pelvis. Material and methods: Retrospective evaluation of patients who underwent a total pelvic exenteration in our hospital in 1999-2013.
We evaluated: oncologic characteristics of the initial tumor, previous operations, neoadjuvant therapy, previous urological disease and related surgery, length of surgery, blood loss, type and duration of urological complications and their solutions.