Ez. Neulander et al., Incidental appendectomy during radical cystectomy: An interdepartmental survey and review of the literature, UROLOGY, 56(2), 2000, pp. 241-244
Objectives. To survey and review the incidence of appendectomy performed du
ring radical cystectomy and urinary diversion. We were interested in the re
asons behind the decision and if continent diversions have changed the poli
cy.
Methods. We performed a selective survey among urologists in academic cente
rs throughout the United States regarding their practice of incidental appe
ndectomy during radical cystectomy. We also reviewed the literature regardi
ng the rationale for incidental appendectomy in general and during radical
cystectomy in particular.
Results. Among the 13 departments and 26 urologists replying to the survey,
9 (69%) departments and 20 (77%) individual clinicians are not performing
routine incidental appendectomy. In 2 departments, it is considered a matte
r of choice, and, in 4 (31%) departments, appendectomy is performed routine
ly. Many believe that the low risk of subsequent appendicitis does not just
ify the procedure and that the appendix may be useful for future reconstruc
tion. A review of the literature suggests that incidental appendectomy duri
ng radical cystectomy is not necessary.
Conclusions. Incidental appendectomy during radical cystectomy is not neces
sary and is no longer being performed in many academic centers. The risk of
subsequent appendicitis is extremely low. The decision may depend on the f
orm of urinary diversion planned. UROLOGY 56: 241-244, 2000. (C) 2000, Else
vier Science Inc.