Is nasogastric tube drainage required after reconstructive surgery for neurogenic bladder dysfunction?
, , . Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA. b-erickson@md.northwestern.edu OBJECTIVES: To determine whether the routine use of nasogastric tubes (NGTs) after bowel surgery for neurogenic bladder dysfunction improves outcomes. METHODS: We retrospectively evaluated 54 consecutive patients (30 women, 24 men) with neurogenic bladder who underwent bladder reconstruction or replacement with bowel segments by one surgeon from December 2000 to August 2005. The first 32 [NGT()] had NGTs placed during the procedure, whereas the subsequent 22 [NGT(-)] did not. We compared short-term postoperative outcomes between groups. RESULTS: Patient age ranged from 17 to 74 years (mean, 42.6 years). Procedures included augmentation cystoplasty with or without creation of catheterizable stoma (31), ileovesicostomy (13), and ileal conduit (9). Mean age or mean operative time did not differ between the NGT() and NGT(-) groups. The NGT(-) patien
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