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Journal : Indonesian Journal of Urology

URINARY DIVERSION AFTER RADICAL CYSTECTOMY, ORTHOTOPIC NEOBLADDER VS ILEAL CONDUIT: A SYSTEMATIC REVIEW AND META-ANALYSIS OF POSTOPERATIVE COMPLICATION Fahri, Muhammad; Gampo Alam Irdam
Indonesian Journal of Urology Vol 30 No 3 (2023)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v30i3.841

Abstract

ABSTRACT Objective: The purpose of this study is to compare orthotopic neobladder (ONB) and ileal conduit (IC) formation in terms of surgical outcome and complication. Material & Methods: Computerized bibliographic search on different databases related to this study. The PICO criteria method was applied to define research eligibility, per PRISMA recommendations and conducted a systematic review of the literature with meta-analysis. Weighted mean differences with 95 percent confidence intervals were used to compare continuous outcomes. Results: There were 479 publications were discovered and only 6 studies fulfilled the criteria included. The random-effect model's pooled result for urinary leakage complication revealed a significant difference of 1.62 between ONB and IC with higher incidence in neobladder group (95 percent CI, 1.85, 8.69, P = 0.0004) with non-significant heterogeneity (Chi2 = 0.65, df = 3 (P = 0.89), I2 = 0%). Other complications (ileus complication, anastomosis site stenosis, sepsis, urinary infection) showed non-significant difference. Conclusion: Because of the heterogeneity in several aspects of the analyzed papers, further study comparing Orthotopic Neobladder and Ileal conduit in terms of complication following urinary diversion are needed to confirm superiority of ONB or IC as the urinary diversion of choice. Keywords: Orthotopic neobladder, ileal conduit, urinary diversion, radical cystectomy
Co-Authors Abdul Hakim Abrista Devi Afif, Abdul Jalil Akbar, Syaidina Ali Putra Amelia, Nurfathiyyah Andestend Arhani, Halimatussa'diyah Arum, Wahyu Sri Ambar Ayu, Dwi Gusti AZ, Wahyul Bagus Suhendar Baisa, Hidayah Biantara, Irgi Christiono, Christiono Dahlan, Maarifah Daud, Alfani Ghutsa Dewi Anggrayni Dika Oktavia Fahmi Irfani Fahria, Rahmasari Farrahatni, Fini Faturachman, Reka Fikri, Miftahul Gampo Alam Irdam Harton, Budi Hayya, Aqilla Padya Helfa Rahmadyani Ikhwan Hamdani irma yunita Ismail Istithoah, Lisyanti Iyus Kusnaedi Junarif, Zafa Kamil, Badrudin Kartika Tresya Mauriraya Khaidir Fadil Khoiri, Ilham Maharani, Vidia Putri Marwan Mashitoh, Azizah Dewi Mu'minin, Amirul Muhammad Anwar Muhlisin, Sofiyan Muliati Mulyana, Iwa Garniwa Mulyasari, Siti Artanti Murdani, Dendy mustafidah, shofiatul Muthmainnah, Siti Nur Rizky Nafissah, Siti Najibah, Saffana Noneng Siti Rosidah nur samsiah Nurhayati, Nenih Nurpajarini, Dita Nurpajriah, Siti Nurul Rahma, Nurul Pahlevi, M. Iqbal Pamungkas, Niki Cucu Permana, Bambang Adit Rahman, Imas Kania Rahmawati, Witri Rakhman, Sitti Rakhmat Kurniawan R Renaldi, Mochamad Rihaadah, Faadiyah Rismawati, Anisa Robidi, Robidi Rosmita Rosmita, Rosmita Rusdi Kasman Sa diyah, Maemunah Samur, Rizki Sanny, Annisa SANTI LISNAWATI Sari, Noerlita Sari, Yulia Indah Permata Sekarmayang, Tiara Daru Silaen, Janso Siti Nurmala Sri Watini Suhendra Suhendra Sutarjo, Puji Syahri, Raihan Faturrahman Syamsir Abduh Teguh, Saeful Hadi Triwoelandari, Retno Yanuar Fahrizal Yono Yono, Yono