![](/images/graphics-bg.png)
Morbidity and Quality of Life in Bladder Cancer Patients following Cystectomy and Urinary Diversion : A Single-Institution Comparison of Ileal Conduit versus Orthotopic Neobladder
Joint Authors
Jentzmik, Florian
Schostak, Martin
Schrader, Andres Jan
Baumunk, Daniel
Miller, Kurt
Erber, Barbara
Lingnau, Anja
Schrader, Mark
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-06
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
To evaluate and compare noncontinent and continent urinary diversion after radical cystectomy in patients with bladder cancer.
Methods.
A total of 301 patients submitted to radical cystectomy at the Charité-University Hospital Berlin from 1993 to 2007 including 146 with an ileal conduit and 115 with an ileal neobladder.
Clinical and pathological data as well as oncological outcome were retrospectively analyzed and compared.
Quality of life was analyzed using the EORTC QLQ-C30 and BLM30 questionnaires.
Results.
69.1% and 69.6% of all patients who received an ileal conduit and ileal neobladder, respectively, developed early complications.
The two groups differed significantly concerning the occurrence of postoperative ileus (P=0.02) favoring patients who received an ileal conduit but not with regard to any other early-onset complication evaluated.
Patients with ileal neobladder had a significantly better global health status and quality of life (P=0.02), better physical functioning (P=0.02), but also a higher rate of diarrhoea (P=0.004).
Conclusion.
Cystectomy with any type of diversion remains a complication-prone surgery.
Even if the patient groups are not homogeneous in all respects, there are many arguments in favor of the ileal neobladder as the urinary diversion of choice.
American Psychological Association (APA)
Erber, Barbara& Schrader, Mark& Miller, Kurt& Schostak, Martin& Baumunk, Daniel& Lingnau, Anja…[et al.]. 2012. Morbidity and Quality of Life in Bladder Cancer Patients following Cystectomy and Urinary Diversion : A Single-Institution Comparison of Ileal Conduit versus Orthotopic Neobladder. ISRN Urology،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-464351
Modern Language Association (MLA)
Erber, Barbara…[et al.]. Morbidity and Quality of Life in Bladder Cancer Patients following Cystectomy and Urinary Diversion : A Single-Institution Comparison of Ileal Conduit versus Orthotopic Neobladder. ISRN Urology No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-464351
American Medical Association (AMA)
Erber, Barbara& Schrader, Mark& Miller, Kurt& Schostak, Martin& Baumunk, Daniel& Lingnau, Anja…[et al.]. Morbidity and Quality of Life in Bladder Cancer Patients following Cystectomy and Urinary Diversion : A Single-Institution Comparison of Ileal Conduit versus Orthotopic Neobladder. ISRN Urology. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-464351
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464351