title: Perioperative and long-term surgical complications for the Indiana pouch and similar continent catheterizable urinary diversions.
abstract: This article summarizes recent evidence describing perioperative and long-term surgical complications of the Indiana pouch and similar continent catheterizable urinary diversions.
  
  
  
  The perioperative morbidity and long-term complications are better defined in recent literature describing the Indiana and similar pouches. Both perioperative and long-term surgical complications for the Indiana and similar pouches are extremely variable between studies, but ranges between 1-32% and 6-69%, respectively. Significant perioperative surgical risks include bowel leak, deep wound and organ space infection, ureteral leak and/or stenosis, and death. Common long-term surgical risks include: ureteral stenosis, problems with the catheterizable (efferent) channel, and the treatment of pouch or other urinary calculi.
  
  
  
  Perioperative and long-term surgical complications have only recently been reported in a consistent manner for continent catheterizable urinary diversions. Understanding perioperative and long-term surgical complications allows for comparison of studies and more importantly allows surgeons to provide accurate information about complications and risk to patients.
authors.affiliation: Department of Surgery, University of Utah, Salt Lake City, Utah, USA.
authors.forename: Jeremy B
authors.initials: JB
authors.lastname: Myers
authors.forename: Sara M
authors.initials: SM
authors.lastname: Lenherr
mesh_terms: D003251:Constriction, Pathologic / Q000209:etiology; D006801:Humans; D011183:Postoperative Complications; D014517:Ureteral Obstruction; D014545:Urinary Calculi; D014546:Urinary Catheterization; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects