Patient-reported outcomes and health-related quality of life after urinary diversions
| Autor: | John Heesakkers, Siberyn T. Nuijens, J. Alfred Witjes, Hanny Cobussen-Boekhorst |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment Urinary system BLADDER-CANCER Urinary Diversion Cystectomy STANDARD Quality of life orthotopic neobladder Urological cancers Radboud Institute for Molecular Life Sciences [Radboudumc 15] medicine Humans Patient Reported Outcome Measures Intensive care medicine SURVIVORS Health related quality of life urinary diversions business.industry Patient choice Urinary diversion WOMEN Regret humanities health-related quality of life Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10] ileal conduit Urinary Bladder Neoplasms Quality of Life Female FEMALE SEXUAL DYSFUNCTION GENDER RADICAL CYSTECTOMY Sexual function business human activities |
| Zdroj: | Current Opinion in Urology, 31, 574-579 Current Opinion in Urology, 31, 6, pp. 574-579 |
| ISSN: | 1473-6586 0963-0643 |
| Popis: | Contains fulltext : 244278.pdf (Publisher’s version ) (Open Access) PURPOSE OF REVIEW: To study the recent literature on health-related quality of life (HRQOL) in patients after radical cystectomy followed by urinary diversion. RECENT FINDINGS: General consensus regarding, which urinary diversion is superior in terms of HRQOL has not been reached. Although there is an increase in studies favoring the orthotopic neobladder, overall quality of these studies is poor. Other studies suggest that HRQOL outcomes in different types of urinary diversions is similar and that other factors, such as age, comorbidities and sex are more important instead. Patient choice, in consultation with the treating surgeon should be the determinant of which urinary diversion is performed. Furthermore, sexual function can play an important role in HRQOL. However, practice shows that counselling on the option of sexual-preserving techniques is still not implemented in routine clinical practice. Furthermore, studies regarding differences in HRQOL after urinary diversion between male and female individuals are lacking. SUMMARY: Thorough preoperative counselling on the different types of urinary diversion and options for sexual-preserving techniques decreases decision regret and increases HRQOL in patients after radical cystectomy. |
| Databáze: | OpenAIRE |
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