Continent cutaneous urinary diversion is still a valid alternative after cystectomy for bladder carcinoma
| Autor: | Elisabet Lindholm, David Pazooki, Christer Dahlstrand, Christer Edlund, Olof Jonsson, Harriet Törnqvist |
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| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment Population Renal function Urinary Diversion urologic and male genital diseases Cystectomy Patient satisfaction Surveys and Questionnaires Carcinoma medicine Humans education Retrospective Studies education.field_of_study business.industry Urinary diversion Urinary Reservoirs Continent Retrospective cohort study Middle Aged medicine.disease female genital diseases and pregnancy complications Surgery Urodynamics Treatment Outcome Urinary Bladder Neoplasms Nephrology Patient Satisfaction Iohexol Clearance Quality of Life Female business Follow-Up Studies Glomerular Filtration Rate |
| Zdroj: | Scandinavian journal of urology and nephrology. 39(6) |
| ISSN: | 0036-5599 |
| Popis: | We compared patient opinions concerning reservoir/bladder function as well as quality of life (QOL) after cystectomy for bladder carcinoma and continent cutaneous urinary diversion or orthotopic bladder reconstruction.Fifteen patients with Kock reservoirs (11 females, 4 males) and 11 men with orthotopic bladders answered the European Organization for Research and Treatment of Cancer quality-of-life questionnaire-C30 as well as specially constructed questions concerning reservoir/bladder function. The glomerular filtration rate (GFR) was determined using Cr-EDTA or iohexol clearance.Functioning and global health/QOL scales did not differ between the two groups of operated patients or between diverted patients and gender- and age-matched groups from the general population. The majority of the patients were satisfied/very satisfied with their diversion but more patients were troubled by leakage in the orthotopic bladder group than in the Kock reservoir group. The GFR was similar in the two groups.Continent cutaneous urinary diversion is associated with fewer leakage problems than orthotopic bladder reconstruction after cystectomy for bladder carcinoma. |
| Databáze: | OpenAIRE |
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