Introduction of an Enhanced Recovery Protocol to Reduce Short-Term Complications following Radical Cystectomy and Intestinal Urinary Diversion with Vescica Ileale Padovana Neobladder.

Objectives: To reduce short-term complications of radical cystectomy (RC) andintestinal urinary diversion with vescica ileale Padovana (VIP) neobladder, wedescribed and assessed an enhanced recovery protocol (ERP) in a series ofconsecutive patients. Methods: An ERP was introduced focusing on reduced bowelpreparation, standardized feeding and analgesic regimens. We analyzed theoutcomes with all patients consecutively undergoing RC and VIP neobladder who metthe following inclusion criteria: American Society of Anesthesiologists score <3;absence of malnutrition according to the Mini Nutritional Assessment - Short Formcriteria; absence of inflammatory bowel diseases. Results: Thirty-one consecutivepatients were recruited to undergo our ERP. Mean age of patients was 62.16 years.No patients died due to surgical complications. Nine of 31 patients experiencedcomplications (29.03%), none requiring surgical intervention. According toClavien grading, all complications were grade <2. Conclusion: The application of our ERP to our patients undergoing RC and VIP neobladder contributed to reducepostoperative morbidity.