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<p>This study assessed the value of routine annual imaging in identifying functional complications (uretero-enteric structure (UES) and urolithiasis) more than 5&#xa0;years after radical cystectomy (RC) with ileal conduit. A&#xa0;total of eighty-two patients were included, with a&#xa0;mean follow-up of 7.3&#xa0;years after RC. In total during the follow-up period more than 5&#xa0;years after RC, 202 ultrasound examinations and 71&#xa0;CT scans were performed. New or progressive hydronephrosis was identified in six imaging examinations (2.2%) involving six patients (7.3%). No UES were diagnosed through routine annual imaging; one UES was detected following symptom-driven diagnostic imaging. Routine annual imaging therefore does not significantly contribute to the detection of UES during the follow-up period beyond 5&#xa0;years after RC. Imaging should be performed only when clinically indicated.</p>

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Routine annual imaging does not aid in diagnosing new functional complications more than five years after RC with ileal conduit

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月11日

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  • Joanneke B. Ringia,
  • Femke E. F. Scholte,
  • Renee A. G. Lijnen,
  • Emma Algie,
  • Sarah M. H. Einerhand,
  • Esther M. K. Wit,
  • Maaike W. van de Kamp,
  • Thierry N. Boellaard,
  • Henk G. van der Poel,
  • Bas W. G. van Rhijn,
  • Laura S. Mertens,
  • Kees Hendricksen

摘要

This study assessed the value of routine annual imaging in identifying functional complications (uretero-enteric structure (UES) and urolithiasis) more than 5 years after radical cystectomy (RC) with ileal conduit. A total of eighty-two patients were included, with a mean follow-up of 7.3 years after RC. In total during the follow-up period more than 5 years after RC, 202 ultrasound examinations and 71 CT scans were performed. New or progressive hydronephrosis was identified in six imaging examinations (2.2%) involving six patients (7.3%). No UES were diagnosed through routine annual imaging; one UES was detected following symptom-driven diagnostic imaging. Routine annual imaging therefore does not significantly contribute to the detection of UES during the follow-up period beyond 5 years after RC. Imaging should be performed only when clinically indicated.