Health-related quality of life after cystectomy: bladder substitution compared with ileal conduit diversion. A questionnaire survey

B D Bjerre, C Johansen, K Steven

126 Citationer (Scopus)

Abstract

OBJECTIVE: To compare the health-related quality of life after bladder substitution with that following ileal conduit diversion.

PATIENTS AND METHODS: Sixty-seven male patients with bladder cancer completed the questionnaire; 38 had undergone bladder substitution and 29 ileal conduit diversion; the median follow-up was 1.0 year (range 0.5-3.0) and 4.8 years (range 1.1-15.2), respectively. Semi-structured qualitative interviews were conducted and analysed, and the questionnaire was developed based upon these results.

RESULTS: Both day- and night-time urinary leakage occurred more frequently following bladder substitution (18% against 10%, and 21% against 3%). Nevertheless, urinary leakage affected conduit patients more severely and they scored higher on a leakage distress scale. Furthermore, 58% of the ileal conduit but only 21% of the bladder substitution patients gave urinary leakage as their main concern (P = 0.04). Ileal conduit patients did not retain their body image as well as those with bladder substitution. The frequency of both sexual and non-sexual physical contacts decreased in the majority of the conduit patients but only in a minority of the bladder substitute patients. Global satisfaction was high and similar in both groups.

CONCLUSION: These results show that the health-related quality of life is retained to a higher degree after bladder substitution and supports the use of this procedure as the standard method of diversion after cystectomy for bladder cancer.

OriginalsprogEngelsk
TidsskriftBritish Journal of Urology
Vol/bind75
Udgave nummer2
Sider (fra-til)200-5
Antal sider6
ISSN0007-1331
DOI
StatusUdgivet - feb. 1995
Udgivet eksterntJa

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