[Unusual complications after radical cystectomy].
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.
Martínez Salamanca
Juan Ignacio
JI
Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.
García Burgos
Juan
J
Subirá Ríos
David
D
Castaño González
Irene
I
Moralejo Gárate
Mercedes
M
Herranz Amo
Felipe
F
de Palacio España
Andres
A
Hernández Fernández
Carlos
C
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*