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QUALITY OF LIFE AFTER RADICAL CYSTECTOMY FOR BLADDER CANCER IN PATIENTS WITH AN ILEAL CONDUIT, OR CUTANEOUS OR URETHRAL KOCK POUCH

1999; Lippincott Williams & Wilkins; Volume: 162; Issue: 1 Linguagem: Inglês

10.1097/00005392-199907000-00019

1527-3792

STACEY HART, Eila C. Skinner, Beth E. Meyerowitz, Stuart D. Boyd, Gary Lieskovsky, Donald G. Skinner,

Urinary Bladder and Prostate Research

No AccessJournal of UrologyClinical Urology: Original Articles1 Jul 1999QUALITY OF LIFE AFTER RADICAL CYSTECTOMY FOR BLADDER CANCER IN PATIENTS WITH AN ILEAL CONDUIT, OR CUTANEOUS OR URETHRAL KOCK POUCH STACEY HART, EILA C. SKINNER, BETH E. MEYEROWITZ, STUART BOYD, GARY LIESKOVSKY, and DONALD G. SKINNER STACEY HARTSTACEY HART , EILA C. SKINNEREILA C. SKINNER , BETH E. MEYEROWITZBETH E. MEYEROWITZ , STUART BOYDSTUART BOYD , GARY LIESKOVSKYGARY LIESKOVSKY , and DONALD G. SKINNERDONALD G. SKINNER View All Author Informationhttps://doi.org/10.1097/00005392-199907000-00019AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Radical cystectomy for bladder cancer is associated with many changes in bodily function with sexual and urinary dysfunction most prevalent. However, little research has been done on how efforts to improve erectile function relate to quality of life. Also, the psychological benefits associated with continent urinary diversion have not been fully explored. We compared long-term quality of life outcomes among 3 urinary diversion groups, and between patients who had and had not received an inflatable penile prosthesis. Materials and Methods: The 224 participating patients completed 4 self-reporting questionnaires, including the profile of mood states, and adapted versions of the sexual history form, body image dissatisfaction scale and quality of life questionnaire. We compared self-reports of emotional distress, global quality of life, sexuality, body image dissatisfaction, urinary diversion problems, and problems with social, physical and functional activities in patients with advanced bladder cancer who underwent urinary diversion, including an ileal conduit in 25, cutaneous Kock pouch in 93 and urethral Kock pouch in 103. Patients who had or had not received an inflatable penile prosthesis after cystectomy were also compared in regard to quality of life variables. Results: Regardless of type of urinary diversion the majority of patients reported good overall quality of life, little emotional distress and few problems with social, physical or functional activities. Problems with urinary diversion and sexual functioning were identified as most common. After controlling for age analysis of variance showed no significant differences among urinary diversion subgroups in any quality of life area. However, t tests controlling for age indicated that penile prosthesis placement was significantly associated with better sexual function and satisfaction. Conclusions: Quality of life appears good in these long-term survivors of advanced bladder cancer. The type of urinary diversion does not appear to be associated with differential quality of life. Findings suggest that physicians may wish to discuss urinary diversion problems and sexual dysfunction as long-term correlates of radical cystectomy for bladder cancer. Furthermore, they may also wish to discuss the option of erectile aids in men with erectile dysfunction after cystectomy. References 1 : Quality of life survey of urinary diversion patients: comparison of ileal conduits versus continent Kock ileal reservoirs. J. Urol.1987; 138: 1386. Link, Google Scholar 2 : Male and female sexual function and activity following ileal conduit urinary diversion. Brit. J. Urol.1992; 70: 33. Google Scholar 3 : Sexual rehabilitation and male radical cystectomy. J. Urol.1986; 136: 1015. Link, Google Scholar 4 : Quality of life after cystectomy: comparison between patients with conduit and those with continent caecal reservoir urinary diversion. Brit. J. Urol.1988; 62: 240. Google Scholar 5 : Quality of life in patients with advanced bladder cancer. A randomized study comparing cystectomy and irradiation-the Danish Bladder Study Group (DAVECA protocol 8201). Scand. J. Urol. Nephrol.1989; 125: 115. Google Scholar 6 : A comparison of adjustments to urinary diversions: a pilot study. J. Wound Ostomy Continence Nurs1995; 22: 58. Google Scholar 7 : Life with an ileal conduit in cystectomized bladder cancer patients: expectations and experience. Scand. J. Urol. Nephrol.1987; 21: 97. Google Scholar 8 : Psychosocial adjustment and general state of health in patients with ileal conduit urinary diversion. Scand. J. Urol. Nephrol.1992; 26: 139. Google Scholar 9 : Health-related quality of life after cystectomy: bladder substitution compared with ileal conduit diversion. A questionnaire survey. Brit. J. Urol.1995; 75: 200. Crossref, Medline, Google Scholar 10 : San Diego, California: Educational and Industrial Testing Service1971. Google Scholar 11 : Psychosocial status of cancer patients and next of kin: normative data from the profile of mood states. J. Psychosoc. Oncol.1986; 3: 99. Google Scholar 12 : Mood states of patients after the diagnosis of cancer. J. Psychosoc. Oncol.1989; 7: 45. Google Scholar 13 : Multiaxial problem-oriented system for sexual dysfunctions: an alternative to DSM-III. Arch. Gen. Psychiatry1982; 39: 614. Google Scholar 14 : The happy American body: a survey report. Psych. Today1973; 6: 119. Google Scholar 15 : Quality of life and coping in heart transplant recipients. In: . New York: Plenum Press1990: 471. Google Scholar 16 : Assessment of the quality of life of patients with advanced cancer. Eur. J. Cancer Clin. Oncol.1983; 19: 1161. Google Scholar 17 Washington, D.C.: American Psychiatric Association1994. Google Scholar 18 : A sequentially rejective test procedure based on a modified Bonferroni inequality. Biometrika1990; 77: 663. Google Scholar 19 : Choice of surgery for early breast cancer: psychosocial considerations. Soc. Sci. Med.1988; 27: 1257. Google Scholar 20 : Quality of life and sexuality following radical prostatectomy in patients with prostate cancer who use or do not use erectile aids. Urology1997; 50: 740. Google Scholar From the Department of Psychiatry, Stanford University School of Medicine, Stanford, and Departments of Urology and Psychology, University of Southern California, Los Angeles, CaliforniaSupported in part by Grant PD-08-94 from the American Cancer Society, California Division.(Skinner) Financial interest and/or other relationship with Schering Oncology.(Boyd) Financial interest and/or other relationship with AMS and Mentor.© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byRitch C, Cookson M, Chang S, Clark P, Resnick M, Penson D, Smith J, May A, Anderson C, You C, Lee H and Barocas D (2014) Impact of Complications and Hospital-Free Days on Health Related Quality of Life 1 Year after Radical CystectomyJournal of Urology, VOL. 192, NO. 5, (1360-1364), Online publication date: 1-Nov-2014.Benner C, Greenberg M, Shepard N, Meng M and Rabow M (2013) The Natural History of Symptoms and Distress in Patients and Families Following Cystectomy for 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of Urology, VOL. 170, NO. 5, (1772-1776), Online publication date: 1-Nov-2003.COOKSON M, DUTTA S, CHANG S, CLARK T, SMITH J and WELLS N (2018) Health Related Quality of Life in Patients Treated With Radical Cystectomy and Urinary Diversion for Urothelial Carcinoma of the Bladder: Development and Validation of a New Disease Specific QuestionnaireJournal of Urology, VOL. 170, NO. 5, (1926-1930), Online publication date: 1-Nov-2003.HAUTMANN R (2018) Urinary Diversion: Ileal Conduit to NeobladderJournal of Urology, VOL. 169, NO. 3, (834-842), Online publication date: 1-Mar-2003.VALLANCIEN G, ABOU EL FETTOUH H, CATHELINEAU X, BAUMERT H, FROMONT G and GUILLONNEAU B (2018) Cystectomy with Prostate Sparing for Bladder Cancer in 100 Patients: 10-year ExperienceJournal of Urology, VOL. 168, NO. 6, (2413-2417), Online publication date: 1-Dec-2002.Dutta S, Chang S, Coffey C, Smith J, Jack G and Cookson M (2018) Health Related Quality of Life Assessment After Radical Cystectomy: Comparison of Ileal 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(2018) EDITORIAL COMMENTJournal of Urology, VOL. 163, NO. 5, (1431-1431), Online publication date: 1-May-2000. Volume 162Issue 1July 1999Page: 77-81 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.MetricsAuthor Information STACEY HART More articles by this author EILA C. SKINNER More articles by this author BETH E. MEYEROWITZ More articles by this author STUART BOYD More articles by this author GARY LIESKOVSKY More articles by this author DONALD G. SKINNER More articles by this author Expand All Advertisement PDF downloadLoading ...