Abstract
Objective
The choice between different types of urinary diversion (UD) for patients may be determined by a number of considerations such as adverse events, impact on health related quality of life (HRQOL), patient experience of care, patient satisfaction with care, rate of return to productivity or routine activities and surgeon experience. What type of UD is the best as regard HRQOL? The answer of this question is still controversial between urologist in the same center, different centers, in same country and in different countries.
Methods
A Medline literature search using Pub Med database was done. All published articles in English concerning the HRQOL after radical cystectomy (RC) and UD in women were reviewed. Fifty one articles and abstracts were retrieved. Only 22 of them assess the HRQOL in women after RC and orthotopic neobladder (ONB).
Results
The results of the available studies are controversial. Only five studies reported preserved HRQOL after ONB while others reported the reverse when compared with normal population. On comparison to patients with ileal conduit (IC), four studies reported better HRQOL in favor of ONB while no significant differences were found between both types in seven studies. None of the available studies reported statistically significant difference in overall HRQOL between patients with ONB and those with continent cutaneous diversion (CCD).
Conclusion
The current published literature do not conclusively document that one form of diversion is superior to another in terms of HRQOL. Further studies are recommended in order to provide better clarification.
Keywords
Bladder cancer, radical cystectomy, urinary diversion, orthotopic diversion, quality of life in women.
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This is one of only two papers of the run preserved with their full text; the other is the review of mixed urinary stone classification. The PDF that Full Text once pointed to went offline with the platform, as the page on this publishing system explains. The special issue it belonged to is Vol 2, No 1 (2014).
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