Quality of Life and Health in
Patients with Urinary Diversion:
A Comparison of Incontinent
versus Continent Urinary Diversion

Filipas, D.; Egle, U. T.; Büdenbender, Christiane; Fisch, Margit; Fichtner, Jan; Hoffmann, Sven; Hohenfellner, R

doi:10.1159/000480876

Cited by 35 publications

(10 citation statements)

References 11 publications

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“…Boyd et al 2 reported that there was no significant difference in psychological and emotional status between patients with an ileal conduit and those with a continent urinary reservoir and that patients of both groups could accept, adapt and generally be satisfied with either the continent or non-continent form of urinary diversion. Our results and those of Filipas et al 11 support this opinion. Gerharz et al 5 reported significant superiority of CR regarding all stoma-related items, global quality of life, physical strength, mental capacity, leisure time activities and social competence.…”

Section: Discussionsupporting

confidence: 91%

Quality of life in patients having an ileal conduit, continent reservoir or orthotopic neobladder after cystectomy for bladder carcinoma

et al. 1999

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Background: To compare the QOL in patients with ileal or colon conduits (IC), continent urinary reservoir (CR) and ileal neobladder (NB), a retrospective study was conducted using a questionnaire sent by mail. Methods: Seventy-nine patients with a mean age of 60 years were included in this study. A total of 36, 22 and 21 underwent IC, CR and NB, respectively and were alive at the time of this study. A structured questionnaire consisting of 97 questions that covered general condition and physical condition, reconstruction-related symptoms, psychological status, sexual life, social status and satisfaction with the treatment was employed. Results:The IC group frequently complained of changes in bathing habits and loss of using public baths in comparison with the CR and the NB groups. High scores for loss of sexual desire were obtained in the IC, the CR and the NB groups, in this order. Because of the nearly physiological voiding, the NB group desired a voiding condition like pre-operative status as compared with the IC and the CR groups. However, for most of the questionnaire items no difference was seen among the IC, CR and NB groups concerning general condition, reconstruction-related symptoms, psychological status, sexual life, social status, satisfaction with the treatment and global satisfaction with life and health. Conclusions: There was little difference in the QOL score of the questionnaire and satisfaction among the IC, CR and NB groups. It was suggested that almost every patient accepted and adapted to the present status of general quality of life in each group.

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Section: Discussionsupporting

confidence: 91%

Quality of life in patients having an ileal conduit, continent reservoir or orthotopic neobladder after cystectomy for bladder carcinoma

et al. 1999

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“…A similar study was published in 2004 [15] , which reported a small increase in ‘mental’ quality of life (QoL) and an insignificant decrease in ‘physical’ QoL, when comparing preoperative with 1-year follow-up data. Similar results, despite differences between groups, have been obtained in five retrospective trials (level of evidence 3) [16] , [17] , [18] , [19] , [20] . These trials all mentioned that stomal dysfunctions were frequent.…”

Section: Discussionsupporting

confidence: 82%

Long-term follow-up after ileocaecal continent cutaneous urinary diversion (Mainz I pouch): A retrospective study of a monocentric experience

Khalil

Fellahi

Ouslim

et al. 2015

Arab Journal of Urology

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ObjectiveTo assess the long-term follow-up after ileocaecal continent cutaneous reservoir (ICCR) and to review the late complications.Patients and methodsIn all, 756 patients underwent an ICCR in our department, with long-term follow-up data available in 50 patients. The inclusion criterion was ICCR regardless of the indication and the exclusion criteria were orthotopic neobladder or other continent urinary diversions not performed with the ileocaecum. Patients were followed to record primary outcomes and late complications. Complications were stratified according to the Clavien–Dindo classification.ResultsThe mean patient age was 44 years and pelvic malignancies were the first indication for urinary diversion. The mean (range) follow-up was 19 (9–36) years. A stoma stenosis was the most frequent outlet-related complication requiring re-intervention, followed by ischaemic outlet degeneration, and stoma incontinence. Six renal units (RUs) developed obstruction at the anastomotic site and were managed by open surgery. Three RUs had to be removed due to deterioration. A dederivation was necessary in three patients (6%).ConclusionThe ICCR is a safe and established technique when an orthotopic pouch is impossible. The long-term follow-up shows acceptable complication rates and satisfactory continence conditions. However, large population studies are necessary to confirm this observation.

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“…Most patients reported that their interest and life volition, personal abilities, family relations, and overall quality of life were ‘very good’. This probably reflects the adaptability of patients who have a Mainz pouch II and real improvements in their quality of life [26–28].…”

Section: Discussionmentioning

confidence: 99%

A modified sigma‐rectum pouch (Mainz pouch II) technique: analysis of outcomes and complications on 220 patients

Hadži-Djokić

Bašić

2006

BJU International

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OBJECTIVETo evaluate the safety and efficacy of a modified technique for a sigma-rectum pouch (Mainz pouch II). PATIENTS AND METHODSBetween October 1994 and March 2003, a modified Mainz pouch II was constructed in 220 patients (153 men and 67 women, mean age 56.7 years) in a multicentre prospective study. The median follow-up (177 patients, 81%) was 21 (1-84) months. RESULTSThere were no peri-operative deaths; there were early complications in 24 patients, including prolonged ileus in six, pyelonephritis in 17, unilateral ureterohydronephrosis in 11, bilateral ureterohydronephrosis in two, and incipient renal failure in five. Late complications included ureteric implantation-site stenosis (unilateral in eight patients and bilateral in three). In all, 92 patients (52%) needed oral alkalizing medications and potassium supplementation because of hyperchloraemic metabolic acidosis. All but three patients (99%) were continent by day and at night. The mean ( SD ) voiding frequency was 4.2 (1.6) voids by day and 2.1 (0.5) at night. CONCLUSIONThe Mainz pouch II is a simple and reproducible surgical technique, with good results in terms of mortality, morbidity, continence and overall quality of life. The main limitation is malignant transformation of the uretero-intestinal anastomosis. For selected cases, the technique is a good alternative to other types of continent urinary diversion.

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Quality of Life and Health in Patients with Urinary Diversion: A Comparison of Incontinent versus Continent Urinary Diversion

Cited by 35 publications

References 11 publications

Quality of life in patients having an ileal conduit, continent reservoir or orthotopic neobladder after cystectomy for bladder carcinoma

Quality of life in patients having an ileal conduit, continent reservoir or orthotopic neobladder after cystectomy for bladder carcinoma

Long-term follow-up after ileocaecal continent cutaneous urinary diversion (Mainz I pouch): A retrospective study of a monocentric experience

A modified sigma‐rectum pouch (Mainz pouch II) technique: analysis of outcomes and complications on 220 patients

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