Contemporary cystectomy combined with ileal conduit or bladder substitution

Bhojwani, A; Mellon, J. Kilian

doi:10.1016/s0960-7404(02)00011-7

Cited by 7 publications

(2 citation statements)

References 88 publications

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“…Most patients present when the disease is at an early stage, and are initially treated with transurethral resection. Radical cystectomy (RC) is one treatment option for histologically confirmed muscle‐invasive bladder cancer [3,4]. This study describes patients who had undergone RC for carcinoma of the bladder in England between 1995 and 2002.…”

Section: Introductionmentioning

confidence: 99%

Changes in patient characteristics and outcomes for radical cystectomy in England

et al. 2005

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Section: Introductionmentioning

confidence: 99%

Changes in patient characteristics and outcomes for radical cystectomy in England

et al. 2005

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“…Good long-term results have been obtained with this type of diversion and therefore it is still currently used in many institutions [2]. However, advances in technique and postoperative care have allowed the formation of various continent diversions, either heterotopic or orthotopic, which have become more popular because no external appliance is needed.…”

Section: Introductionmentioning

confidence: 99%

Modified S‐pouch neobladder vs ileal conduit and a matched control population: a quality‐of‐life survey

et al. 2004

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urinary and sexual function and bother was also constructed. RESULTSThere were no differences in the QoL scores among the three groups; group 3 (control) tended to have a better QoL for all domains except emotional functioning. Urinary function was seriously affected in group 1, with more daytime leakage than in groups 2 and 3 (37.8% vs 10%, P = 0.005, and 9.3%, P = 0.01), night loss of urine (39.5% vs 28%, P = 0.07, and 3.7%, P = 0.002) and urine odour (58.6% vs 4%, and 5.5%, both P = 0.001). Patients in group 2 differed from healthy individuals only in night loss of urine. Consequently urinary bother was more pronounced in group 1, as fewer were satisfied (68.9% vs 86% and 83.2%, both P = 0.03). Sexual function was seriously and similarly affected in groups 1 and 2; the erection rate was 28.9% for group 1, 35.5% for group 2 ( P = 0.1) and 83.3% in group 3 ( P = 0.003), while firm erections were present at 17.7%, 22.2% ( P = 0.2) and 83.3% ( P = 0.002). Women reported equivalent dysfunction in all three groups (15.4%, 20% and 16.6%, P = 0.3). Sexual desire was also equal in all groups (48.2%, 50% and 48.1). Patients in group 1 expressed more bother, while those in group 2 seemed more satisfied by their sexual life (84.4%, 68% and 68.5%, P = 0.04). CONCLUSIONSRadical cystectomy does not affect QoL whichever urinary reconstruction is used, and this implies a determination by the patients to live and adjust to their new conditions. On the contrary, urinary and sexual function are affected and related to the method used to reconstruct the urinary system. KEYWORDSquality of life, bladder cancer, radical cystectomy, ileal conduit, modified S-pouch. OBJECTIVESTo measure the quality-of-life (QoL) outcome and urinary and sexual function and bother after radical cystectomy and different types of urinary tract reconstruction (Bricker vs modified S-pouch neobladder), also assessing differences between them and a normal population. PATIENTS, SUBJECTS AND METHODS

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The Ureter and Urinary Diversion

Ali-El-Dein

2023

The Ureter

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Contemporary cystectomy combined with ileal conduit or bladder substitution

Cited by 7 publications

References 88 publications

Changes in patient characteristics and outcomes for radical cystectomy in England

Changes in patient characteristics and outcomes for radical cystectomy in England

Modified S‐pouch neobladder vs ileal conduit and a matched control population: a quality‐of‐life survey

The Ureter and Urinary Diversion

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