External stoma and peristomal complications following radical cystectomy and ileal conduit diversion

A systematic review

Konrad Szymanski, Diane St-Cyr, Tarik Alam, Wassim Kassouf

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

An ileal conduit is the most common urinary diversion following radical cystectomy for invasive bladder cancer. Unlike internal complications commonly described in urological literature, reports about the incidence of external complications are sparse. A Medline database review (1996-2008) of English-language literature was conducted to: 1) describe and compare external stoma and peristomal complications and complication rates among outpatients with ileal conduit diversion following radical cystectomy, and 2) summarize commonly used prevention and management strategies. Fourteen publications (mostly retrospective, single-center studies) met inclusion criteria. The reported incidence of complications ranged from 15% to 65%. Divided according to pathogenesis, the most commonly reported complications are 1) stoma or abdominal wall-related changes - parastomal hernia, stoma prolapse, stenosis, and retraction; and 2) peristomal skin changes - chemical injury: irritant contact dermatitis, pseudoverrucous lesions, and alkaline crustations; mechanical injury: pressure ulcers, skin stripping injuries, mucocutaneous separation; infection: candidiasis, folliculitis; immunologic disorders: allergic contact dermatitis; and disease-related lesions: varices, pyoderma gangrenosum, malignancy. Peristomal complications also appear to be under-recognized and under-reported. Research to establish the validity and reliability of assessment tools and long-term follow-up studies are needed to improve the evidence-base of prevention and care.

Original languageEnglish (US)
Pages (from-to)28-35
Number of pages8
JournalOstomy Wound Management
Volume56
Issue number1
StatePublished - Jan 2010
Externally publishedYes

Fingerprint

Urinary Diversion
Cystectomy
Wounds and Injuries
Irritant Dermatitis
Folliculitis
Pyoderma Gangrenosum
Skin
Allergic Contact Dermatitis
Pressure Ulcer
Candidiasis
Prolapse
Contact Dermatitis
Incidence
Varicose Veins
Abdominal Wall
Hernia
Urinary Bladder Neoplasms
Reproducibility of Results
Publications
Pathologic Constriction

Keywords

  • Ileal conduit
  • Peristomal complications
  • Radical cystectomy
  • Review
  • Stoma

ASJC Scopus subject areas

  • Gastroenterology
  • Internal Medicine
  • Nursing(all)
  • Medicine(all)

Cite this

External stoma and peristomal complications following radical cystectomy and ileal conduit diversion : A systematic review. / Szymanski, Konrad; St-Cyr, Diane; Alam, Tarik; Kassouf, Wassim.

In: Ostomy Wound Management, Vol. 56, No. 1, 01.2010, p. 28-35.

Research output: Contribution to journalArticle

@article{08280779e0ca4990844f0d03544952ad,
title = "External stoma and peristomal complications following radical cystectomy and ileal conduit diversion: A systematic review",
abstract = "An ileal conduit is the most common urinary diversion following radical cystectomy for invasive bladder cancer. Unlike internal complications commonly described in urological literature, reports about the incidence of external complications are sparse. A Medline database review (1996-2008) of English-language literature was conducted to: 1) describe and compare external stoma and peristomal complications and complication rates among outpatients with ileal conduit diversion following radical cystectomy, and 2) summarize commonly used prevention and management strategies. Fourteen publications (mostly retrospective, single-center studies) met inclusion criteria. The reported incidence of complications ranged from 15{\%} to 65{\%}. Divided according to pathogenesis, the most commonly reported complications are 1) stoma or abdominal wall-related changes - parastomal hernia, stoma prolapse, stenosis, and retraction; and 2) peristomal skin changes - chemical injury: irritant contact dermatitis, pseudoverrucous lesions, and alkaline crustations; mechanical injury: pressure ulcers, skin stripping injuries, mucocutaneous separation; infection: candidiasis, folliculitis; immunologic disorders: allergic contact dermatitis; and disease-related lesions: varices, pyoderma gangrenosum, malignancy. Peristomal complications also appear to be under-recognized and under-reported. Research to establish the validity and reliability of assessment tools and long-term follow-up studies are needed to improve the evidence-base of prevention and care.",
keywords = "Ileal conduit, Peristomal complications, Radical cystectomy, Review, Stoma",
author = "Konrad Szymanski and Diane St-Cyr and Tarik Alam and Wassim Kassouf",
year = "2010",
month = "1",
language = "English (US)",
volume = "56",
pages = "28--35",
journal = "Wound management & prevention",
issn = "2640-5237",
publisher = "HMP Communications",
number = "1",

}

TY - JOUR

T1 - External stoma and peristomal complications following radical cystectomy and ileal conduit diversion

T2 - A systematic review

AU - Szymanski, Konrad

AU - St-Cyr, Diane

AU - Alam, Tarik

AU - Kassouf, Wassim

PY - 2010/1

Y1 - 2010/1

N2 - An ileal conduit is the most common urinary diversion following radical cystectomy for invasive bladder cancer. Unlike internal complications commonly described in urological literature, reports about the incidence of external complications are sparse. A Medline database review (1996-2008) of English-language literature was conducted to: 1) describe and compare external stoma and peristomal complications and complication rates among outpatients with ileal conduit diversion following radical cystectomy, and 2) summarize commonly used prevention and management strategies. Fourteen publications (mostly retrospective, single-center studies) met inclusion criteria. The reported incidence of complications ranged from 15% to 65%. Divided according to pathogenesis, the most commonly reported complications are 1) stoma or abdominal wall-related changes - parastomal hernia, stoma prolapse, stenosis, and retraction; and 2) peristomal skin changes - chemical injury: irritant contact dermatitis, pseudoverrucous lesions, and alkaline crustations; mechanical injury: pressure ulcers, skin stripping injuries, mucocutaneous separation; infection: candidiasis, folliculitis; immunologic disorders: allergic contact dermatitis; and disease-related lesions: varices, pyoderma gangrenosum, malignancy. Peristomal complications also appear to be under-recognized and under-reported. Research to establish the validity and reliability of assessment tools and long-term follow-up studies are needed to improve the evidence-base of prevention and care.

AB - An ileal conduit is the most common urinary diversion following radical cystectomy for invasive bladder cancer. Unlike internal complications commonly described in urological literature, reports about the incidence of external complications are sparse. A Medline database review (1996-2008) of English-language literature was conducted to: 1) describe and compare external stoma and peristomal complications and complication rates among outpatients with ileal conduit diversion following radical cystectomy, and 2) summarize commonly used prevention and management strategies. Fourteen publications (mostly retrospective, single-center studies) met inclusion criteria. The reported incidence of complications ranged from 15% to 65%. Divided according to pathogenesis, the most commonly reported complications are 1) stoma or abdominal wall-related changes - parastomal hernia, stoma prolapse, stenosis, and retraction; and 2) peristomal skin changes - chemical injury: irritant contact dermatitis, pseudoverrucous lesions, and alkaline crustations; mechanical injury: pressure ulcers, skin stripping injuries, mucocutaneous separation; infection: candidiasis, folliculitis; immunologic disorders: allergic contact dermatitis; and disease-related lesions: varices, pyoderma gangrenosum, malignancy. Peristomal complications also appear to be under-recognized and under-reported. Research to establish the validity and reliability of assessment tools and long-term follow-up studies are needed to improve the evidence-base of prevention and care.

KW - Ileal conduit

KW - Peristomal complications

KW - Radical cystectomy

KW - Review

KW - Stoma

UR - http://www.scopus.com/inward/record.url?scp=76149130736&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=76149130736&partnerID=8YFLogxK

M3 - Article

VL - 56

SP - 28

EP - 35

JO - Wound management & prevention

JF - Wound management & prevention

SN - 2640-5237

IS - 1

ER -