About this trial
This study aims to introduce a perioperative antifungal prophylaxis for patients undergoing cystectomy: surgically removal of the urinary bladder with construction of a urinary diversion. We wish to investigate the effect of antifungal prophylaxis on complications after the operation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients 18 years and older
Willingness to participate in the study and the ability to understand and sign an informed consent
Indication for performing cystectomy
The urinary diversion is limited to the ileal conduit
Disqualifiers
Patients with contraindications to Fluconazole. This includes allergies and treatment with non-pausable medication that in combination is contraindicated
Patients in active treatment for mycotic infections
Trial design
Parallel
Treatments tested in this trial
Fluconazole
Drug400 mg inravenous Fluconazole, single dose 200 ml
Isotonic saline solution
DrugIntravenous saline solution, single dose 200 ml
Treatment groups
Trial outcomes
Primary outcomes
Postoperative complications
Measured by Clavien Dindo III-V classification score. The Clavien Dindo Classification is used to rank the severity of a surgical complication. It consists of seven grades (I, II, IIIa, IIIb, IVa, IVb, V) with I being any deviation from the normal postoperative course and V being death of a patient.
Secondary outcomes
Days Alive and Out of Hospital (DAOH)
Number of days alive and out of hospital within 90 days from surgery
Time to gastrointestinal function
First bowel movement
Nasogastric tube placement
Number of nasogastric tube placements
Length of stay (LOS)
Duration (days) of primary hospitalization.
Sponsors and contacts
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