Working Capacity and Well-Being after Radical Cystectomy with Continent Cutaneous Diversion.

Margareta Öhrström, Thomas Davidsson, Wiking Månsson, Björn Wohlfart, Mats Ekelund

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Abstract

Objectives: The primary aim was to compare the working capacity in patients with continent urinary diversion with a control group. Secondary aims were to assess the changes in electrolyte and acid-base homeostasis and the functional status during strenuous physical activity, and finally, the well-being in the two groups. Methods: Eleven patients who had undergone radical cystectomy and continent cutaneous diversion using an ileocolonic segment participated. The control group consisted of 12 men, matched for age and activity level. Working capacity was assessed by ergospirometry on an exercise bicycle. Venous blood samples were taken before the test, when the expiratory exchange ratio (RER) was about 1.0 and immediately after completion of the test. SF-36 was used to evaluate the subject's functional status and well-being. Results: The median working capacity in the patient group was 155 (85190) W and 155 (125-215) W in the control group (n.s.) corresponding to 72 (43-97) % and 80 (59-97) % respectively of predicted values. Peak oxygen uptake was somewhat low in both groups when compared to P-O Astrands norms. Blood tests revealed that patients developed a slight metabolic hyperchloremic acidosis, not seen in the control group. There were no differences between the groups as assessed with SF-36. Conclusion: Patients with a continent urinary diversion have a working capacity equal to a control group despite a slight metabolic hyperchloremic acidosis. Quality of life was similar in the two groups and corresponded well with the norms for the general Swedish population aged 65 to 74. (c) 2005 Elsevier B.V. All rights reserved.
Original languageEnglish
Pages (from-to)691-697
JournalEuropean Urology
Volume49
Issue number4
DOIs
Publication statusPublished - 2006

Bibliographical note

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Division of Physiotherapy (Closed 2012) (013042000), Department of Clinical Physiology (Lund) (013013000), Surgery (Lund) (013009000), Department of Urology, Lund (013077000)

Subject classification (UKÄ)

  • Urology and Nephrology

Keywords

  • homeostasis
  • acid-base
  • urinary bladder cancer
  • urinary diversion
  • ergospirometry
  • quality of life
  • working capacity

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