MP26-07 URETERAL STENT URINE CULTURE FOLLOWING RADICAL CYSTECTOMY WITH ILEAL CONDUIT DIVERSION PREDICTS UTI-RELATED READMISSION RATES

INTRODUCTION AND OBJECTIVES:We hypothesized that ureteral stent urine culture (UC) results may predict urinary tract infection(UTI)-related readmissions following robotic radical cystectomy with ileal conduit diversion (RCIC). Starting in 2015, we adopted a strict stent removal protocol to include stent urine culture (UC) and a single dose IV antibiotic given prior to removal targeted for postoperative day 4. We analyzed the results of this coordinated effort.METHODS:This is a single center analysis of a prospectively collected cystectomy dataset from 4/2015 to 1/2018. The patients were divided according to stent culture results into the positive cohort ( single or multiple organism with CFU>1,000) and negative cohort (no growth, contaminated results or organism/s growth with <1,000 CFU). Measured outcomes were 90-day Urinary Adverse Events (UAE; UTI requiring inpatient or outpatient antibiotics within our institutional system or by outside report), overall-readmission rate and UTI-related readmission rat...