TSS is acceptable from an oncological point of view, and it enables continuation of a patient's life without lifelong hormonal substitution. Additionally, local irradiation therapy could be delayed in patients with TIN who wish to father children, but with high local recurrence rate.

Background and Aims: the aim of this study was to compare the feasibility and early postoperative outcomes between patients undergoing double-barreled wet colostomy and patients undergoing terminal colostomy and ileal conduit for simultaneous urinary and fecal diversion.Material and Methods: between 1995 and 2012, we had 181 patients in whom it was necessary to make simultaneous urinary and fecal diversion. this is a retrospective study and patients were divided into two groups, depending on the technique applied for the fecal and urinary diversion. the first group consisted of patients undergoing ileal conduit and terminal colostomy and the second group consisted of patients undergoing doublebarreled wet colostomy.Results: ileal conduit and terminal colostomy was performed in 77 (43%) cases, while wet colostomy was performed in 104 (57%) cases. median length of stay was shorter for double-barreled wet colostomy (13.1 vs 18.1, p < 0.0001). median operating times for urinary and fecal diversion were shorter for double-barreled wet colostomy (32 vs 64 min, p < 0.0001). the morbidity was lower for double-barreled wet colostomy (11.5% vs 23.4%, p = 0.0432), retrospectively. the mortality was 3.8% for double-barreled wet colostomy and 10.3% for ileal conduit and terminal colostomy group (p = 0.1282).Conclusions: Double-barreled wet colostomy is a safe, fast, and simple alternative to traditional ileal conduit and terminal colostomy diversion. the technique is relatively easy to learn, and it reduces the time for urinary and fecal diversion, length of stay, and morbidity rate.

The Serbian version of the Australian pelvic floor questionnaire is a reliable and valid instrument for assessment of quality of life in women with pelvic floor disorders.