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Quality of Life Survey of Urinary Diversion Patients: Comparison of Continent Urinary Diversion Versus Ileal Conduit
Author(s) -
Okada Yusaku,
Oishi Kenji,
Shichiri Yasumasa,
Kakehi Yoshiyuki,
Hamaguchi Akikazu,
Tomoyoshi Tadao,
Yoshida Osamu
Publication year - 1997
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.1997.tb00134.x
Subject(s) - medicine , urinary diversion , quality of life (healthcare) , stoma (medicine) , urinary system , bathing , urinary continence , physical therapy , surgery , cystectomy , cancer , nursing , prostate , bladder cancer , pathology , prostatectomy
Background Continent urinary reservoirs (CUR) have become one of the major options for patients requiring urinary diversion to improve their quality of life (QOL). To assess whether CUR enhanced postoperative QOL, we surveyed patients with CUR and ileal conduit (IC) using a questionnaire sent by mail. Patients and Methods The questionnaire consisted of 133 questions that covered physical and mental status, social life, sexual habits and symptoms related to urinary diversions. A total of 1 72 questionnaires were sent out, and 137 (80%) patients (74 CUR and 63 IC patients) responded. Results Basic physical conditions were similar in the 2 groups, except for sleeping habits. Regarding social life, however, the CUR group showed better scores in bathing habits and frequency of overnight travel. Parasternal dermatitis was more frequent in the IC group and the patients were more hesitant to show their stoma to others. On the other hand, about half of the patients in the CUR group complained of troublesomeness in self‐catheterization, especially at night. Overall, 74% and 41% of the patients in the CUR and IC group were satisfied with their urinary diversion. When the Kock pouch and Indiana pouch were compared, no statistically significant differences were found in average capacity, maximum capacity, or frequency of self‐catheterization. Conclusions CUR recipients have enhanced QOL regarding the stoma, travel and sleeping habits as compared to ileal conduit. However, troublesomeness of night time self‐catheterization was noted in the CUR group. Individualized selection of the type of urinary diversion with informed consent is essential.