title: Quality of life evaluation of patients with neurogenic bladder submitted to reconstructive urological surgeries preserving the bladder.
abstract: Treatment of neurogenic bladder (BN) aims to upper urinary tract protection. When the conservative clinical measures are insufficient, surgical treatment is indicated. Though admittedly important, the quality of life (QoL) has been little studied in these patients, there are even contradictory results. The aim of this study was to evaluate QoL before and after bladder augmentation in patients with BN refractory to medical treatment. We analyzed, prospectively, the data of 67 patients who underwent surgical treatment for BN by questionnaire SF-36(®) and Qualiveen(®) QoL before and after six months of operation. Comparisons using paired t-tests and Wilcoxon and the assumption of normality was assessed using the Shapiro-Wilk test were made. According to the analysis of the SF-36(®) questionnaire, the patients had higher QoL indices in the postoperative period in the areas functional capacity, general state of health, vitality, social aspects, emotional aspects and mental health (n = 67; p <0.05). The questionnaire also revealed Qualiveen(®) best result in quality of life index in the postoperative period, and show lower specific negative impact by urinary problems (n = 36; p <0.05). The results show that, despite not being the main objective, the bladder augmentation results in significant improvement in QoL, probably related to the perception of better health and the resolution of urinary incontinence. Thus, the bladder augmentation associated with other urologic reconstruction techniques allows the upper urinary tract protection, and contribute to a better quality of life of patients with BN.
authors.affiliation: Hospital of the Medical School of the Federal University of Minas Gerais.
authors.forename: Daniel Xavier
authors.initials: DX
authors.lastname: Lima
authors.affiliation: Hospital of the Medical School of the Federal University of Minas Gerais.
authors.forename: Cleidismar Rosa
authors.initials: CR
authors.lastname: Pires
authors.affiliation: Hospital of the Medical School of the Federal University of Minas Gerais.
authors.forename: Ana Clara Rezende Dos
authors.initials: AC
authors.lastname: Santos
authors.affiliation: Hospital of the Medical School of the Federal University of Minas Gerais.
authors.forename: Raphaela Gomes
authors.initials: RG
authors.lastname: Mendes
authors.affiliation: Hospital of the Medical School of the Federal University of Minas Gerais.
authors.forename: Carlos Eduardo Corradi
authors.initials: CE
authors.lastname: Fonseca
authors.affiliation: Hospital of the Medical School of the Federal University of Minas Gerais.
authors.forename: Orlando Barreto
authors.initials: OB
authors.lastname: Zocratto
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D059351:Organ Sparing Treatments / Q000379:methods*; D011184:Postoperative Period; D057234:Preoperative Period; D011446:Prospective Studies; D011788:Quality of Life; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*