Quality of life after cystectomy and urinary diversion : Results of a retrospective interdisciplinary study.
Annual meeting of American Urological Association. Orlando (USA), 1996/05/04.
Now that creation of continent urinary reservoirs has become a standardized and clinically well established surgical technique with known morbidity and mortality rates, we reassessed the psychological and social aspects of this treatment compared with wet urostomy.
Materials and Methods
We developed a questionnaire (102 items) addressing general aspects of quality of life, disease related social support, coping strategies and stoma related issues.
It was mailed to 600 patients with ileal conduits and 130 with continent reservoirs.
Final analysis was restricted to 192 patients operated upon within the last 5 years (mean followup 2.7 years).
The resulting groups were matched and paralleled regarding most treatment related and sociodemographic data.
Final analysis did not reveal differences between the groups in disease related social support, coping strategies or quality of life when expressed as a total score.
We found statistically significant superiority of continent reservoirs regarding all stoma related items, patient global self-assessment of their quality of life (single item, p<0.005), physical strength, mental capacity, leisure time activities and social competence (p<0.05).
Continent diversion is clearly advantageous with respect to all items directly related to the stoma. (...)
Mots-clés Pascal : Cystectomie, Association, Dérivation, Voie urinaire, Réservoir stockage, Exploration clinique, Qualité vie, Echelle évaluation, Relation, Technique, Résultat, Homme, Chirurgie, Appareil urinaire pathologie, Voie urinaire pathologie
Mots-clés Pascal anglais : Cystectomy, Association, Bypass, Urinary tract, Storage tank, Clinical investigation, Quality of life, Evaluation scale, Relation, Technique, Result, Human, Surgery, Urinary system disease, Urinary tract disease
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0449998
Code Inist : 002B25H. Création : 03/02/1998.