title: Review of a series of cystectomies in women for bladder cancer:Complications and quality of life.
abstract: OBJECTIVE
  To analyze the complications and quality of life after cystectomies performed in women with bladder cancer at our hospital.
  
  
  METHODS
  Descriptive analysis of demographic data and early/late complications of cystectomies and urinary diversions performed in women at our hospital between 1990-2010. We also assessed quality of life using the Functional Assessment of Cancer Therapy-Bladder Cancer (ACT-BL) questionnaire and a comparison was drawn between groups of clinical variables.
  
  
  RESULTS
  Out of 265 cystectomies, 25 (10%) were performed in women. The predominant urinary diversion was ureterosigmoidostomy (60%), followed by cutaneous ureterostomy (16%), orthotopic ileal neo-bladder Studer pouch (12%), ileal conduit (10%) and permanent nephrostomy (4%). Mean age was 55.75 years. The most commonly occurring early complications were prolonged ileus (20%) and urinary fistula (20%). Late complications included hydronephrosis (32%) and pyelonephritis (32%). The results of quality of life questionnaires were very similar for the different types of urinary diversions, with a mean score of 104.5 out of 156 points.
  
  
  CONCLUSIONS
  Radical cystectomy is a high-risk procedure associated with many complications. In women, ureterosigmoidostomy may be a good choice for urinary diversion in selected patients, with a quality of life very similar to those with different urinary diversions.
authors.affiliation: Servicio de Urologia.Complejo Hospitalario Universitario Marques de Valdecilla.Santander.Cantabria.Spain.
authors.forename: J
authors.initials: J
authors.lastname: Fuentes
authors.forename: E
authors.initials: E
authors.lastname: Ramos
authors.forename: D
authors.initials: D
authors.lastname: Truan
authors.forename: J A
authors.initials: JA
authors.lastname: Portillo
authors.forename: F
authors.initials: F
authors.lastname: Campos-Juanatey
authors.forename: L
authors.initials: L
authors.lastname: Gala
authors.forename: E
authors.initials: E
authors.lastname: Meidavilla
authors.forename: M
authors.initials: M
authors.lastname: Dominguez
authors.forename: J L
authors.initials: JL
authors.lastname: Gutierrez
mesh_terms: D015653:Cystectomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000453:epidemiology; D011788:Quality of Life; D001749:Urinary Bladder Neoplasms / Q000523:psychology* / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*