Quality of Life in Patients with Bladder Cancer Undergoing Ileal Conduit: A Comparison of Women Versus Men

Siracusano, Salvatore; D’Elia, Carolina; Cerruto, Maria Angela; Saleh, Omar M. Abu; Serni, Sergio; Gacci, Mauro; Ciciliato, Stefano; Simonato, Alchiede; Porcaro, Antonio Benito; Marco, Vincenzo De; Talamini, Renato; Toffoli, Laura; Visalli, Francesco; Niero, Mauro; Lonardi, Cristina; Imbimbo, Ciro; Verze, Paolo; Mirone, Vincenzo; Racioppi, Marco; Iafrate, Massimo; Cacciamani, Giovanni; Marchi, Davide De; Bassi, Pierfrancesco; Artibani, Walter

doi:10.21873/invivo.11216

Cited by 15 publications

(16 citation statements)

References 16 publications

(8 reference statements)

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“…Using FSFI, after an initial worsening of the results over the first 3 months after surgery, it is possible to denote a significant improvement at 12 months of follow-up, even if in comparison with the baseline the results remain significantly reduced. These results support what was already highlighted by Bhatt et al [53] in their study on a subset of women who underwent RC with neurovascular preservation and ONB. They found that FSFI score could be preserved compared with women who did not undergo NS, who had a significant decline.…”

Section: Discussionsupporting

confidence: 92%

Surgical and functional outcomes after robot-assisted radical cystectomy in female patients: a systematic review of the literature

Ornaghi¹,

Tafuri²,

Orlando³

et al. 2021

MIS

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Aim:We aimed to review and summarize recent data on surgical and functional outcomes in women undergoing robot-assisted radical cystectomy (RARC) and urinary diversion (UD) for bladder cancer, compared with male and open counterparts. Methods: A systematic review of English-language articles published in the last 15 years was performed on PubMed/Medline database according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Outcomes of interest included peri-and post-operative surgical outcomes [operative time (OT), estimated blood loss (EBL), hospital stay (LOS), complications, and readmission], pathological outcomes [pT stage, lymph node (LN) yield, positive surgical margins (PSMs), and positive LN (pN+)], and functional outcomes [daytime and nighttime continence, sexual activity, need for clean intermittent catheterization (CIC), and quality of life (QoL) evaluation].Results: Overall, eight studies were selected collecting data from 229 female patients undergoing RARC. The median OT was 418 min (range 311-562 min) and the median EBL was 380 mL (range 100-1160 mL). OT and EBL were not significantly different comparing males and females, whereas the robotic approach was found to be Conclusion: RARC and UD in female patients is a feasible procedure with surgical outcomes overlapping with those in the male patient population. Postoperative functional outcomes on continence, sexual function, and QoL are still poorly investigated, although results inherent in the nerve-sparing approach appear promising.

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Section: Discussionsupporting

confidence: 92%

Surgical and functional outcomes after robot-assisted radical cystectomy in female patients: a systematic review of the literature

Ornaghi¹,

Tafuri²,

Orlando³

et al. 2021

MIS

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“…QoL was assessed by EORTC QLQ-C30 and EORTC BLM-30. The female patients were 33, and they presented significantly greater problems than men in cognitive functioning and in future perspective [ 33 ].…”

Section: Measurement Of Quality Of Lifementioning

confidence: 99%

“…Recently, the paper by Siracusano and co-workers focusing on the differences between male and female bladder cancer patients, compared 112 men vs. 33 women, and although the two groups were comparable in terms of clinical and demographical variables, the differences in the overall QoL were significantly worse for women than for men, but when specifically enquired about their sexual life, men had more problems in sexual functioning, and in general sexual satisfaction, than women [ 33 ].…”

Section: Measurement Of Quality Of Lifementioning

confidence: 99%

Quality of Life in Female Patients Following Ileal Neobladder and Ileal Conduit: Where Are We?

Siracusano

Zaka

Romantini

et al. 2021

JCM

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“…They reported that in these recurrence-free women with long-term follow-up, patients with cutaneous ureterostomy reported a worse HRQOL compared to women with either ileal conduits or orthotopic neobladders [24]. Siracusano et al [25] reported that female patients who underwent ileal conduit presented a greater burden than male patients in cognitive functioning as well in future perspective, but lower concerns regarding sexual function. To better evaluate the quality of life, especially in patients with radical cystectomy, several questionnaires have been developed, some of which have been implemented in clinical care [26, 27].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Distress in Bladder Cancer Stratified by Gender, Age, Treatment, and Tumour Stage

Draeger¹,

Sievert²,

Hakenberg³

2018

Urol Int

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Objectives: Cancer patients have to cope with anxieties concerning their prognosis, potential recurrence/progression, and treatment-associated sequelae. Stress-related psychosocial factors influence survival and disease-related mortality in cancer patients. Despite improvements in diagnosis and treatment, bladder cancer (BC) remains characterized by high rates of recurrence and progression. We screened pre-therapeutically the stress level of BC patients stratified by gender, disease state, treatment, and other factors by self-administered validated questionnaires to integrate them into psychosocial support as needed. Methods: A cross-sectional analysis of distress and need of psychosocial care was done in 301 patients undergoing treatment for BC by 2 questionnaires (Distress Thermometer [DT] and Hornheider Screening Instrument). Results: Of the 301 patients, 230 patients underwent transurethral resection for a first diagnosis, 63 for recurrent disease, 37 had progressive disease, and 25 had advanced metastatic disease and eventually died of BC. The mean stress level in all patients was 4.6. Twenty-eight percent of the patients expressed a need for psychosocial support. In patients with progressive disease, significantly higher stress scores were seen as well as a higher need of psychosocial care (5.4 and 41%). Conclusions: The median DT-level of 4.6 indicates moderate psychosocial stress in BC patients. From a stress level of 5, the recommendations of a psycho-oncological supervision are pronounced, so that our study showed that early systematic evaluation of psychosocial needs in BC patients is important.

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Quality of Life in Patients with Bladder Cancer Undergoing Ileal Conduit: A Comparison of Women Versus Men

Cited by 15 publications

References 16 publications

Surgical and functional outcomes after robot-assisted radical cystectomy in female patients: a systematic review of the literature

Surgical and functional outcomes after robot-assisted radical cystectomy in female patients: a systematic review of the literature

Quality of Life in Female Patients Following Ileal Neobladder and Ileal Conduit: Where Are We?

Psychosocial Distress in Bladder Cancer Stratified by Gender, Age, Treatment, and Tumour Stage

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