Urologic complications after operations for anorectal cancer, with an evaluation of preoperative intravenous pyelography

Abstract

Or was possible. Complications were more frequent after abdominoperineal resection and in men. Preoperative intravenous pyelography was performed in the cases of 541 of the patients, including 60 who underwent palliative colostomy. The pyelograms of 30 per cent of these patients were abnormal. The abnormalities were anatomic variations of the urinary tract in 25 per cent and urologic diseases in 75 per cent. None of the postoperative urologic complications was related to an abnormal preoperative pyelogram. No relation was found between the radicality of abdominoperineal and low anterior resection and the pyelographic signs of tumor involvement. The present study gives little support to the use of preoperative pyelography as a routine. A randomized trial to elucidate this situation is warranted. Supported by a grant from Den lägevidenskabelige forskningsfond of Storköbenhavn, Färöerne og Grönland. © Williams & Wilkins 1975. All Rights Reserved....