[Quality of life after radical urologic pelvic surgery and impact of inpatient rehabilitation].
Health-related quality of life (QOL) has become a pivotal criterion for assessing quality of specific therapy for prostate and bladder cancer in urology and serves increasingly as a basis for therapeutic decisions reached by urologists and patients. To aid in comprehension, we present the development of QOL research, the accumulated knowledge, and needs for further investigations by offering a broad review of the literature. In Germany, established inpatient rehabilitation has dealt with QOL for decades, but proof of efficacy was lacking. We clearly demonstrated in a prospective study the beneficial effects on QOL achieved with a specific modular urologic inpatient rehabilitation program after radical prostatectomy within 3-4 weeks and stability of these effects over time. Inpatient rehabilitation provides the best generic and disease-specific QOL after radical urologic surgery and completes the surgeon's performance.
Dombo
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Klinik Quellental, Bad Wildungen-Reinhardshausen. konakt@kliniken-hartenstein.de
Otto
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D015653:Cystectomy / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D010343:Patient Admission; D017060:Patient Satisfaction; D010555:Personality Inventory; D011183:Postoperative Complications / Q000523:psychology* / Q000534:rehabilitation; D011446:Prospective Studies; D011468:Prostatectomy / Q000523:psychology* / Q000534:rehabilitation; D011471:Prostatic Neoplasms / Q000601:surgery*; D011788:Quality of Life / Q000523:psychology*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*