[Quality of life after radical cystectomy - an overview and analysis of a contemporary series].
OBJECTIVE
Published evidence does not support a clear advantage in quality of life for continent versus incontinent urinary diversion or vice versa.


METHODS
We retrospectively assessed 61 patients after radical cystectomy with the EORTC-QLQ-C30 and -BLM30 instruments. Analysis was performed in dependence of age, sex, technique of urinary diversion and time-course of therapy.


RESULTS
36 patients had an incontinent and 20 patients a continent urinary diversion. Younger patients (p = 0.001) and those with a continent urinary diversion (p = 0.03) were found to have a statistically significant higher incidence of financial problems. Also patients with continent urinary diversion had significantly (p = 0.032) more problems in social integration. Furthermore, there were significant differences in social integration (p = 0.03) and emotional ability (p = 0.008) in the age-dependent analysis. Patients with a continent diversion had significantly more meteoristic problems (p = 0.007).


CONCLUSIONS
This study also could not demonstrate any clear differences in dependence on the technique of urinary diversion. A good postoperative quality of life seems possible independent of age.
Severin
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Klinik für Urologie, Helios Klinik Schwerin, Schwerin.
Bub
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Jocham
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Kausch
Ingo
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D000223:Adaptation, Psychological; D000368:Aged; D001828:Body Image; D015331:Cohort Studies; D015653:Cystectomy / Q000523:psychology* / Q000534:rehabilitation; D004644:Emotions; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000523:psychology / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010043:Outcome and Process Assessment, Health Care; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000523:psychology* / Q000534:rehabilitation; D011788:Quality of Life / Q000523:psychology*; D012189:Retrospective Studies; D012725:Sexual Behavior; D012917:Social Adjustment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D014547:Urinary Diversion / Q000523:psychology* / Q000534:rehabilitation; D016476:Urinary Reservoirs, Continent