title: [Unusual complications after radical cystectomy].
abstract: OBJECTIVE
  To report complications that are very rare in patients undergoing radical cystectomy and Bricker's ileal conduit. In accordance to the literature and our own experience, to remark the importance of a proper preoperative preparation (nutritional, preanesthetic evaluation...), and adequate postoperative controls to avoid this kind of problems.
  
  
  METHODS
  We report three cases which are demonstrative of these complications, their main characteristics, as well as their diagnosis, treatment, and outcomes.
  
  
  RESULTS
  All three cases were complicated by fistulae, with different outcomes. The diagnostic measures undertook on each one are reviewed in detail. Although it is well shown in the literature that most of these fistulae appear in patients with intestinal inflammatory/infectious diseases, this was not our experience.
  
  
  CONCLUSIONS
  After a bibliographic review and study of our cases, we insist on the importance of a good nutritional evaluation before surgery, and that radical cystectomy with Bricker's type urinary diversion, although consolidated as treatment for infiltrative bladder cancer, is not exempt of immediate postoperative complications or even deferred, as in our case.
authors.affiliation: Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: Juan Ignacio
authors.initials: JI
authors.lastname: Martínez Salamanca
authors.forename: Juan
authors.initials: J
authors.lastname: García Burgos
authors.forename: David
authors.initials: D
authors.lastname: Subirá Ríos
authors.forename: Irene
authors.initials: I
authors.lastname: Castaño González
authors.forename: Mercedes
authors.initials: M
authors.lastname: Moralejo Gárate
authors.forename: Felipe
authors.initials: F
authors.lastname: Herranz Amo
authors.forename: Andres
authors.initials: A
authors.lastname: de Palacio España
authors.forename: Carlos
authors.initials: C
authors.lastname: Hernández Fernández
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D003108:Colonic Diseases / Q000209:etiology*; D015653:Cystectomy; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D014522:Urethral Diseases / Q000209:etiology*; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion; D014548:Urinary Fistula / Q000209:etiology*; D014624:Vaginal Fistula / Q000209:etiology*