title: [The W-shaped ileal neobladder: Long term functional outcomes and health-related quality of life].
abstract: OBJECTIVE
  To evaluate functional outcomes and patients' health-related quality of life over ten years after a W-shaped ileal neobladder urinary diversion.
  
  
  METHODS
  From 1994 to 2004, 87 patients with bladder cancer underwent a cystoprostatectomy with a W-shaped ileal neobladder. Among them, 31 patients (35.6%) were evaluated. The average follow-up was 158months, average age was 72years. We assessed functional outcomes (use of protections, USP score, uroflowmetry, postvoid residual volume), overall health-related quality of life (SF-36 score), and specific urinary-related quality of life (Ditrovie scale).
  
  
  RESULTS
  Daytime continence was satisfactory in 29 patients (96.8%). Night-time continence was satisfactory in 27 patients (87.1%). Mean daytime continence, hyperactivity and dysuria scores of the USP were respectively 1.5/9, 3.2/21 and 2/9. Mean value of the maximum flow rate was 18mL/s for an average voiding volume of 324mL and an average postvoid residual volume of 70mL. The 8 dimensions of the SF-36 were all comparable with the French population's values. According to the Ditrovie scale whose average value was 1.83, the health-related quality of life was unchanged or little changed by urinary disorders in 28 patients (90.3%).
  
  
  CONCLUSIONS
  Our results suggest that voiding status and health-related quality of life remain satisfactory over ten years after an orthotopic ileal neobladder derivation.
  
  
  METHODS
  5.
authors.affiliation: Service d'urologie et de transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: pierreyvesbelot@gmail.com.
authors.forename: P-Y
authors.initials: PY
authors.lastname: Belot
authors.affiliation: Service d'urologie et de transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: hakim.fassi-fehri@chu-lyon.fr.
authors.forename: H
authors.initials: H
authors.lastname: Fassi-Fehri
authors.affiliation: Service d'urologie et de transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: marc.colombel@chu-lyon.fr.
authors.forename: M
authors.initials: M
authors.lastname: Colombel
authors.affiliation: Service d'urologie et de transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: xavier.matillon@chu-lyon.fr.
authors.forename: X
authors.initials: X
authors.lastname: Matillon
authors.affiliation: Service d'urologie et de transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: sebastien.crouzet@chu-lyon.fr.
authors.forename: S
authors.initials: S
authors.lastname: Crouzet
authors.affiliation: Service d'urologie et de transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: xavier.martin@chu-lyon.fr.
authors.forename: X
authors.initials: X
authors.lastname: Martin
authors.affiliation: Service d'urologie et de transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: nadia.abid@chu-lyon.fr.
authors.forename: N
authors.initials: N
authors.lastname: Abid
authors.affiliation: Service d'urologie et de transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: lionel.badet@chu-lyon.fr.
authors.forename: L
authors.initials: L
authors.lastname: Badet
mesh_terms: D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent; D014563:Urodynamics
keywords: Continence; Dérivation urinaire; Functional outcomes; Hautmann; Health-related quality of life; Ileal neobladder; Long term; Long terme; Néovessie iléale; Qualité de vie; Résultats fonctionnels; Urinary diversion