The Type of Urinary Diversion After Radical Cystectomy Significantly Impacts on the Patient?s Quality of Life

Abstract

Patients with ileal conduits have significantly decreased mental health quality of life whereas patients with continent urinary diversions do not. Therefore, when not medically contraindicated, patients should be offered a continent diversion as the diversion of choice after cystectomy.

Modified S‐pouch neobladder vs ileal conduit and a matched control population: a quality‐of‐life survey

“…For patients to make an informed decision they need to know the QoL after surgery that each technique offers. Many studies are reported comparing QoL between ileal conduit diversion and orthotopic neobladder, but with conflicting results [1,[3][4][5][6][7][8][9][10][11][12][13][14][15].…”

“…Apart from functionality and longterm complications, quality of life (QoL) is important when deciding which diversion is appropriate. RC per se affects many domains of the QoL of patients, the most important being those of urinary, sexual and social function [4][5][6][7][8][9][10][11][12][13][14][15]. Even simple daily activities can be altered, especially in elderly people [16].…”

Quality of Life after Radical Cystectomy and Diversion

“…Özellikle ortotopik grupta başlangıçta öz saygıda azalma görülse de 5 yılın sonunda gruplar arası farkın kalktığı ve hastaların durumlarını kabullendikleri gözlenmiş. Hart, McGuire ve Henningsohn'un yaptığı retrospektif çalışmalar da bu bölümde bahsedilebilecek çalışmalardır (20,28,58). Hart 4 ayrı ölçekle mektup yoluyla yaptığı çalışmada gruplar arası fark bulmamıştır (58).…”

Cystectomie totale pour le cancer de la vessie : étude qualitative de l’expérience des patients et implications pour la pratique

“…Les revues systématiques des études comparant la qualité de vie chez les patients ayant subi une cystectomie totale s'accompagnant de divers types de procédures de reconstruction et utilisant un type quelconque d'instrument de mesure entre 1966 et 2008 n'ont pas démontré la supériorité d'un type particulier de dérivation urinaire par rapport aux autres au vu des résultats concernant la qualité de vie (Gerharz et coll., 2005;Porter & Penson, 2005;Somani, Gimlin, Fayers & N'dow, 2009). Pour ainsi dire toutes les études examinées utilisaient la méthodologie traditionnelle fondée sur une entrevue clinique, un examen du dossier et un questionnaire dans le but d'évaluer les expériences des patients (Dutta et coll., 2002;Hart et coll., 1999;Henningsohn, Steven, Kallestrup & Steineck, 2002;McGuire, Grimaldi, Grotas & Russo, 2000;Nordström & Nyman, 1992). Une étude utilisait une démarche qualitative afin d'explorer les expériences des patients (Beitz & Zuzelo, 2003).…”