title: Augmentation cystoplasty in children without preoperative mechanical bowel preparation.
abstract: OBJECTIVE
  To retrospectively assess early postoperative complications in augmentation cystoplasty without preoperative mechanical bowel preparation (MBP).
  
  
  METHODS
  Between May 1987 and May 2006, 162 cystoplasties were performed in 158 children. The segments used were: sigmoid colon (81.5%), ileum (13%), and ileocecum (5.5%). The mean age was 8.65 years (range 2.1-22.7 years). No preoperative MBP of any kind was used in any of the patients and all of them received antibiotics preoperatively and postoperatively.
  
  
  RESULTS
  No intraoperative complications related to the procedure were reported. The mean hospital stay was 9.48 days (range 4-30 days). The mean time to intake of oral fluids was 94.77 h (range 48-288 h). Postoperative complications occurred in 9.87%: urinary fistula was the most common (2.4%); only 3 patients presented wound infection (1.85%); 5 patients required reoperative surgery (hemoperitoneum, patch necrosis and 3 cases of urinary peritonitis); 1 patient presented an intra-abdominal abscess that resolved with antibiotic treatment.
  
  
  CONCLUSIONS
  Preoperative MBP can be omitted in children that require augmentation cystoplasty without an increased risk of infectious or anastomotic complications. Further prospective, randomized clinical trials should be carried out in order to validate our findings in the pediatric population.
authors.affiliation: Urology Department, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Combate de los Pozos 1881, 1245 Buenos Aires, Argentina. victorduran@fibertel.com.ar
authors.forename: Durán
authors.initials: D
authors.lastname: Víctor
authors.forename: C
authors.initials: C
authors.lastname: Burek
authors.forename: J P
authors.initials: JP
authors.lastname: Corbetta
authors.forename: A
authors.initials: A
authors.lastname: Sentagne
authors.forename: C
authors.initials: C
authors.lastname: Sager
authors.forename: S
authors.initials: S
authors.lastname: Weller
authors.forename: E
authors.initials: E
authors.lastname: Paz
authors.forename: J I
authors.initials: JI
authors.lastname: Bortagaray
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Lopez
mesh_terms: D000293:Adolescent; D002432:Cecum / Q000637:transplantation; D002648:Child; D002675:Child, Preschool; D012809:Colon, Sigmoid / Q000637:transplantation; D000075202:Contraindications; D006801:Humans; D007082:Ileum / Q000637:transplantation; D011300:Preoperative Care; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*; D055815:Young Adult