Factors Accelerating Recovery of Intestinal Motility after Radical Cystectomy with Urinary Diversion

Abstract
Background: Radical cystectomy (RC) with urinary tract reconstruction currently remains the gold standard treatment for invasive bladder cancer. RC associated with many com-plications, postoperative ileus is the most common one which lead to increasing length of hospital stay. Multiple perioperative care plans was put aimed to decrease POI.
Aim of Study: Evaluation of the different factors that can help to accelerate recovery of intestinal motility after radical cystectomy and urinary diversion in order to decrease the length of hospital stay.
Patients and Methods: A total of 37 patients who under-went radical cystectomy with urinary diversion using intestinal segments were divided into 2 groups. In group A (n=23), our new protocol of perioperative preparation applied, in group B (n=14) classic way of perioperative preparation applied. The main differences between both ways are one day intestinal preparation with use of fortrans preoperative, anal dilatation intraoperative and chewing gums postoperative.
Results: There was statistical significance in first intestinal sound first passage of flatus, beginning of soft diet, time to regular diet and hospital stay in favor of group A as compared to the group B (p-value <0.05).
Conclusion: Application of our protocol decrease postop-erative ileus, more rapid time for regular diet and decrease hospital stay after radical cystectomy with urinary diversion.