The type of urinary diversion after radical cystectomy significantly impacts on the patient's quality of life Journal Article


Authors: Mcguire, M. S.; Grimaldi, G.; Grotas, J.; Russo, P.
Article Title: The type of urinary diversion after radical cystectomy significantly impacts on the patient's quality of life
Abstract: Background: In this study, we used a previously well-validated survey to assess the impact of different forms of urinary diversion on overall quality of life in patients with bladder cancer. Methods: A total of 92 patients, having three different forms of urinary diversion after radical cystectomy, completed by mail the SF-36, a validated quality-of-life survey. All patients had local/regional disease at the time of cystectomy and are currently without evidence of disease. Completed surveys were then analyzed into physical (PCS) and mental (MCS) component quality-of-life scores per published protocols. Results were then compared with published age-based norms. Results: A total of 38 men who had cystectomy and ileal neobladder had a mean PCS (±SD) of 48.4 (7.8) and a mean MCS of 51.0 (7.4); 16 men and women who had cystectomy and Indiana Pouch had a mean PCS of 48.4 (8.9) and a mean MCS of 55.7 (3.8). None of these results is statistically different from published age- and sex-based population norms. Thirty-eight men who had cystectomy and ileal conduit had a mean PCS of 41.4 (8.5) and a mean MCS of 48.2 (10.7). The PCS is not statistically different from the population-based norm; however, the MCS is significantly decreased from the published norm (P = .01). Conclusions: 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.
Keywords: adult; controlled study; aged; aged, 80 and over; middle aged; major clinical study; quality of life; bladder cancer; cystectomy; urinary diversion; population surveillance; mental health; physical capacity; ileum; proctocolectomy, restorative; ileal conduit; humans; human; male; female; article
Journal Title: Annals of Surgical Oncology
Volume: 7
Issue: 1
ISSN: 1068-9265
Publisher: Springer  
Date Published: 2000-01-01
Start Page: 4
End Page: 48
Language: English
PUBMED: 10674441
PROVIDER: scopus
DOI: 10.1007/s10434-000-0004-2
DOI/URL:
Notes: Export Date: 18 November 2015 -- Source: Scopus
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  1. Paul Russo
    581 Russo