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

Objectives We 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. Methods The questionnaires of the Functional Assessment...

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Veröffentlicht in:BJUI compass 2020-09, Vol.1 (4), p.133-138
Hauptverfasser: Elbadry, Mohamed S., Ali, Ahmed Issam, Hassan, Ali, Clement, Kieran David, Hammady, Ahmed Rashed, Abdbelaal, Abdalla, Barsoum, Nady Mounir, Hassan, Mohamed Abd Elmalek, Gabr, Ahmed H.
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container_end_page 138
container_issue 4
container_start_page 133
container_title BJUI compass
container_volume 1
creator Elbadry, Mohamed S.
Ali, Ahmed Issam
Hassan, Ali
Clement, Kieran David
Hammady, Ahmed Rashed
Abdbelaal, Abdalla
Barsoum, Nady Mounir
Hassan, Mohamed Abd Elmalek
Gabr, Ahmed H.
description Objectives We 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. Methods The 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. Results Forty‐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). Conclusions Our 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.
doi_str_mv 10.1002/bco2.29
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Methods The 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. Results Forty‐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). Conclusions Our 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.</description><identifier>ISSN: 2688-4526</identifier><identifier>EISSN: 2688-4526</identifier><identifier>DOI: 10.1002/bco2.29</identifier><identifier>PMID: 35474941</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>Bladder cancer ; bladder neoplasm ; Cancer therapies ; Hernias ; ileal conduit ; Independent sample ; Original ; orthotopic diversion ; Patients ; Quality of life ; Questionnaires ; radical cystectomy ; Surgeons</subject><ispartof>BJUI compass, 2020-09, Vol.1 (4), p.133-138</ispartof><rights>2020 The Authors. published by John Wiley &amp; Sons Ltd on behalf of BJU International Company</rights><rights>2020 The Authors. 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Methods The 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. Results Forty‐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). 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subjects Bladder cancer
bladder neoplasm
Cancer therapies
Hernias
ileal conduit
Independent sample
Original
orthotopic diversion
Patients
Quality of life
Questionnaires
radical cystectomy
Surgeons
title The relationship between type of urinary diversion and quality of life after radical cystectomy: Ileal conduit versus orthotopic bladder
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