title: Routine pouchograms are not necessary after continent urinary diversion.
abstract: OBJECTIVE
  Pouchograms are routinely performed before catheter removal after continent urinary diversion at our institution. Our aim was to determine the necessity of pouchograms based on a review of our experience.
  
  
  METHODS
  A retrospective review of patient records and radiographic studies was done for patients undergoing radical cystectomy and continent urinary diversions between 1991 and 2001.
  
  
  RESULTS
  Seventy-two patients underwent continent urinary diversion (orthotopic, n = 59; cutaneous, n = 13) during the study period. All underwent pouchogram postoperatively (median 22 days; range 20 to 27). Six patients (8.3%) had a demonstrable radiographic leak; in 5 of the 6 patients, the urine leak was suspected on clinical grounds. Three patients (4.7%) developed urosepsis after pouchogram.
  
  
  CONCLUSIONS
  Our findings indicate that routine pouchograms before pouch activation after continent urinary diversion may not be necessary.
authors.affiliation: Division of Urology, Department of Surgery, University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
authors.forename: Murali K
authors.initials: MK
authors.lastname: Ankem
authors.forename: Ken-Ryu
authors.initials: KR
authors.lastname: Han
authors.forename: Victor
authors.initials: V
authors.lastname: Hartanto
authors.forename: Michael
authors.initials: M
authors.lastname: Perrotti
authors.forename: Victor S
authors.initials: VS
authors.lastname: Decarvalho
authors.forename: Kenneth B
authors.initials: KB
authors.lastname: Cummings
authors.forename: Robert E
authors.initials: RE
authors.lastname: Weiss
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D002431:Cecostomy; D003106:Colon / Q000000981:diagnostic imaging / Q000601:surgery; D003199:Computer Systems; D003287:Contrast Media; D015653:Cystectomy; D020878:Device Removal; D003955:Diagnostic Tests, Routine; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D012189:Retrospective Studies; D019564:Unnecessary Procedures; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014546:Urinary Catheterization; D014547:Urinary Diversion; D016476:Urinary Reservoirs, Continent
chemical_list: D003287:Contrast Media