INTRODUCTIONBladder cancer is a lethal disease which accounts for 3% of all cancer deaths. In 2010 there were estimated 70,530 new cases of bladder cancer in the United States, and over 500,000 current survivors. 1 The standard of care for muscle-invasive bladder cancer is radical cystoprostatectomy in men and anterior exenteration in women.Options for urinary diversion after cystectomy include noncontinent conduits, continent cutaneous diversions, and orthotopic bladder substitutes have been shown to have similar perioperative complication rates, cancer control, and morbidity. 2,3 For >30 years, the ileal conduit (IC) has been considered the "standard" urinary diversion for bladder cancer patients undergoing radical cystectomy.
ABSTRACTBackground: Bladder cancer, a lethal disease accounts for 3% of cancer deaths. With possibility of various urinary diversion options after bladder removal having comparable cancer control and complications, quality of life becomes an important factor in deciding the type of urinary diversion. Methods: Retrospective observational study with statistically appropriate sample size of 50. Patients of radical cystectomy and ileal conduit given validated Functional Assessment Of Chronic Illness Therapy for Bladder Cancer ( FACT-Bl ) Questionnaire to answer about post-operative quality of life in terms of five parameters i.e., physical, mental, social, emotional and cancer specific well-being after 1 year of surgery. Results: Results analysed by FACIT-Bl questionnaire analysis methods statistically, in terms of total scores and subscores. In our study the mean scores of physical well-being (PWB) subscale is 24.08±4.67 (range o-28), social wellbeing (SWB) subscale is 23.52±4.35 (range 0-28) , emotional well-being (EWB) subscale is 20.06±5.09, functional well-being (FWB) subscale is 21.84±6.01 (range 0-28), bladder cancer subscale is 36.44±5.72 (range 0-48). While mean trial outcome index score is 82.16±3.5 (range 0-104), FACT-General (G) score is 89.50+ 15.88 and mean FACT-Bl total score is 125.94±19.04.These scores provides the quantitative assessment of the quality of life and higher scores indicates better quality of life. Conclusions: Assessing quality of life for a particular type of urinary diversion, with questionnaires, gives surgeons and patients, guidance regarding diversion of choice.