Health related quality of life after urinary diversion. Which technique is better?

Journal of the Egyptian National Cancer Institute
Ahmed M MoeenAhmed M El-Taher

Abstract

To compare quality of life (QoL) after urinary diversion (UD) following radical cystectomy (RC) using validated questionnaires. Between January 2011 and June 2016, 150 patients (121 men [80.7%] and 29 women [19.3%]) with invasive bladder cancer who underwent RC and UD were included in this prospective study. Patients were divided into 2 groups; group I included the orthotopic neobladder 50 (33.3%) and uretro-sigmoidostomy 41 (27.3%) and group II included uretero-cutanoustomy 33 (22.1%) and ileal conduit 26 (17.3%) patients. QOL was evaluated using the Functional Assessment of Cancer Therapy-Bladder Cancer. The erectile function (EF) was assessed using the Sexual Health Inventory for Men Questionnaire. Evaluation was done before and after one year postoperatively. The mean ± SD patient age was 55.0 ± 7.9 and 59.5 ± 8.5 years in both groups, respectively (p = 0.001). There was a significant difference in the physical, social/family, emotional and functional statuses that were significantly higher in group I. One year postoperatively, the emotional well-being became insignificantly different, but other QoL parameters remained significantly different between both groups. Regarding EF, there was a significant difference between pati...Continue Reading

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Citations

May 10, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Michael FriedrichAndreas Hinz
Nov 5, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Dejan Djordjevic, Marko Vukovic
Jun 22, 2021·Current Opinion in Urology·Siberyn T NuijensJ Alfred Witjes

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