The relationship between type of urinary diversion and quality of life after radical cystectomy: Ileal conduit versus orthotopic bladder

被引：7

作者：

Elbadry, Mohamed S. ^{[1
]}

Ali, Ahmed Issam ^{[1
]}

Hassan, Ali ^{[1
]}

Clement, Kieran David ^{[2
]}

Hammady, Ahmed Rashed ^{[3
]}

Abdbelaal, Abdalla ^{[4
]}

Barsoum, Nady Mounir ^{[1
]}

Hassan, Mohamed Abd Elmalek ^{[1
]}

Gabr, Ahmed H. ^{[1
,5
,6
]}

机构：

[1] Minia Univ, Dept Urol, Al Minya, Egypt

[2] NHS Greater Glasgow & Clyde NHSGGC, Glasgow, Scotland

[3] Sohag Univ, Fac Med, Dept Urol, Sohag, Egypt

[4] Ain Shams Univ, Dept Urol, Cairo, Egypt

[5] Royal Alexandra Hosp, Dept Urol, Paisley, Scotland

[6] Royal Alexandra Hosp, Dept Urol, Facil & Estates Management Bldg,Corsebar Rd, Paisley PA2 9PN, Scotland

来源：

BJUI COMPASS | 2020年 / 1卷 / 04期

关键词：

bladder neoplasm; ileal conduit; orthotopic diversion; quality of life; radical cystectomy; NEOBLADDER RECONSTRUCTION; CONTINENT RESERVOIR; CANCER; OUTCOMES;

D O I：

10.1002/bco2.29

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

ObjectivesWe aimed to compare health-related quality of life (HrQoL) in patients who underwent ileal conduit (IC) vs orthotopic neobladder (ONB) as a method of urinary diversion (UD) after radical cystectomy (RC) for invasive bladder cancers.MethodsThe questionnaires of the Functional Assessment of Cancer Therapy-Bladder Cancer (FACT-BL) were used to evaluate and compare the HrQoL in 113 patients with 1 year follow-up.ResultsForty-nine patients were included in the ONB group and 64 patients in the IC group. Patients with IC showed superior scores in all domains of the FACT-BL questionnaire and this reached statistical significance in physical well-being (PWB), functional well-being (FWB), over all FACT-G, Bladder-Specific Subscale and FACT-BL total scores (P-values = .01, .01, .001, .001, and .001, respectively).ConclusionsOur findings demonstrate marginally improved HrQoL in IC patients when compared with patients undergoing ONB which may be attributed to an increased morbidity and postoperative complications in the ONB group.

引用

页码：133 / 138

页数：6

共 20 条

[1] Psychometric Characteristics of a Condition-specific, Health-related Quality-of-life Survey: The FACT-Vanderbilt Cystectomy Index [J].