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Quality of Life After Cystectomy and Urinary Diversion: Results of a Retrospective Interdisciplinary Study

1997; Lippincott Williams & Wilkins; Volume: 158; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(01)64315-5

1527-3792

Elmar W. Gerharz, K. Weingärtner, Thomas Dopatka, Ulrich Köhl, Heinz-D. Basler, H. Riedmiller,

Urinary Bladder and Prostate Research

No AccessJournal of UrologyClinical Urology: Original Articles1 Sep 1997Quality of Life After Cystectomy and Urinary Diversion: Results of a Retrospective Interdisciplinary Study Elmar W. Gerharz, Karl Weingartner, Thomas Dopatka, Ulrich N. Kohl, Heinz-D. Basler, and Hubertus N. Riedmiller Elmar W. GerharzElmar W. Gerharz More articles by this author , Karl WeingartnerKarl Weingartner More articles by this author , Thomas DopatkaThomas Dopatka More articles by this author , Ulrich N. KohlUlrich N. Kohl More articles by this author , Heinz-D. BaslerHeinz-D. Basler More articles by this author , and Hubertus N. RiedmillerHubertus N. Riedmiller More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64315-5AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: 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). Results: 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). Conclusions: Continent diversion is clearly advantageous with respect to all items directly related to the stoma. The significant superiority of continent diversion in patient global self-assessment of their quality of life reflects the highly subjective dimension of the concept. 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Google Scholar From the Department of Urology and the Institute of Medical Psychology, Philipps University Medical School, Marburg, Germany.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byKocot A, Spahn M, Loeser A, Lopau K, Gerharz E and Riedmiller H (2018) Long-Term Results of a Staged Approach: Continent Urinary Diversion in Preparation for Renal TransplantationJournal of Urology, VOL. 184, NO. 5, (2038-2042), Online publication date: 1-Nov-2010.PORTER M and PENSON D (2018) HEALTH RELATED QUALITY OF LIFE AFTER RADICAL CYSTECTOMY AND URINARY DIVERSION FOR BLADDER CANCER: A SYSTEMATIC REVIEW AND CRITICAL ANALYSIS OF THE LITERATUREJournal of Urology, VOL. 173, NO. 4, (1318-1322), Online publication date: 1-Apr-2005.NABI G, YONG S, ONG E, McPHERSON G, GRANT A and N’DOW J (2018) IS ORTHOTOPIC BLADDER REPLACEMENT THE NEW GOLD STANDARD? 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(2018) EDITORIAL COMMENTJournal of Urology, VOL. 159, NO. 5, (1474-1475), Online publication date: 1-May-1998. Volume 158Issue 3September 1997Page: 778-785 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Elmar W. Gerharz More articles by this author Karl Weingartner More articles by this author Thomas Dopatka More articles by this author Ulrich N. Kohl More articles by this author Heinz-D. Basler More articles by this author Hubertus N. Riedmiller More articles by this author Expand All Advertisement PDF downloadLoading ...