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An evaluation of quality of life in patients with continent urinary diversions after cystectomy
Author(s) -
Aideen M. Sullivan,
• Chow,
Ko,
" Wright,
McLoughlin
Publication year - 1998
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1046/j.1464-410x.1998.00633.x
Subject(s) - medicine , urinary diversion , cystectomy , quality of life (healthcare) , urinary system , urinary incontinence , population , general surgery , surgery , bladder cancer , cancer , environmental health , nursing
Objective To determine the long‐term results and assess the quality of life in patients with continent urinary diversions after cystectomy. Patients and methods Eighty‐six consecutive patients who received a continent urinary diversion from 1988 to 1994 at the Vancouver Hospital and Health Sciences Center were evaluated. The evaluation comprised a review of their hospital charts and clinic visits at 3 months and then yearly. Quality of life issues were assessed using a postal questionnaire pertaining to the patient’s urinary symptoms, activity level and overall well‐being while living with a continent urinary diversion. Two separate questionnaires were sent, addressing heterotopic or orthotopic diversions. Results There was an acceptable rate of complications, with stone formation and urinary tract infection as the most common morbidities. Continence was rated as good in most patients, with no patient reportingcomplete incontinence. Undesirable urinary symptoms occurred less often than 20% of the time in most patients. Although there was a significant effect on sex life, the overall quality of life appeared to be very good, as 70% of the patients had no limitations to their activities. Conclusions The techniques currently evolved for urinary diversion produce good long‐term results and quality of life. These diversions should be considered in a well selected patient population.