Abstract
To evaluate long-term general and urinary quality of life (QOL) and sexual satisfaction in adult neurologic patients undergoing continent cystostomy surgery associated with a bladder enlargement to treat neurogenic lower urinary tract dysfunction. Monocentre, retrospective series of adult neurologic patients who underwent continent cystostomy with bladder enlargement and followed-up in the long-term. We assessed during follow-up, urinary and renal function and patients filled QOL questionnaires on general QOL, sexuality and urinary (short form Qualiveen) disability. Fifty-three patients were included and followed-up 77 months on average. Rates of patients' satisfaction, stomal and urethral continences were respectively of 98.7% (n = 51), 94.1% (n = 48), and 80.4% (n = 41). Impact of surgery on general QOL and autonomy were strong and positive (respective mean scores of 4.8 and 4.7 on a scale ranging from 1 to 5). Mean overall urinary Qualiveen QOL score was 0.8 (0.09-2.67) indicating a low negative impact of urinary disability on QOL. In patients <45 years, 52.6% (n = 10) reported a moderate to important improvement of their sexuality after surgery. Renal function remained stable during follow-up. In the long-term, continent cy...Continue Reading
References
Aug 1, 1995·Archives of Physical Medicine and Rehabilitation·J G MorenoD A Rivas
May 1, 1993·The Journal of Urology·S HerschornS B Radomski
Feb 1, 1997·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·P MollardP Y Mure
Oct 19, 1999·The Journal of Urology·M P CainR C Rink
Aug 10, 2000·BJU International·E FontaineC R Woodhouse
May 24, 2001·The Journal of Urology·A LiardP Mitrofanoff
Jun 20, 2001·BJU International·B NarayanaswamyP G Ransley
May 29, 2003·The Journal of Urology·Jason N ZommickDavid A Ginsberg
Oct 27, 2004·The Journal of Spinal Cord Medicine·Natakom N ChulamorkodtAntonio H Chaviano
Jul 27, 2005·Spinal Cord·D PazookiO Jonsson
Aug 3, 2006·Disability and Rehabilitation·Kirsi ValtonenEira Viikari-Juntura
Aug 21, 2007·Urology·Naji J ToumaPatrick P W Luke
May 28, 2008·Archives of Physical Medicine and Rehabilitation·Vanessa K NoonanMarcel F Dvorak
Aug 20, 2008·BJU International·Basavaraj D R GowdaSimon C W Harrison
Oct 28, 2008·The Journal of Urology·Véronique BonniaudGordon Guyatt
Jan 27, 2009·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·E VianP Costa
Jun 5, 2012·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L RouacheP Grise
Sep 24, 2015·Neurourology and Urodynamics·Marie-Aimée Perrouin-VerbeVéronique Phé
Oct 9, 2015·The Journal of Spinal Cord Medicine·Jacinthe J E AdriaansenMarcel W M Post
May 14, 2016·Neurourology and Urodynamics·Marcus John DrakeJean Jacques Wyndaele
Dec 31, 2016·Nephrology·Bong Mo SungHye Min Choi
Feb 1, 2017·Neurourology and Urodynamics·Véronique PhéGilles Karsenty
Feb 9, 2017·Neurourology and Urodynamics·Lisette 't HoenRizwan Hamid