The quality of life in men after radical cystectomy with a continent cutaneous diversion or orthotopic bladder substitution: is there a difference?

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The quality of life in men after radical cystectomy with a continent cutaneous diversion or orthotopic bladder substitution: is there a difference? / Månsson, Åsa; Davidsson, Thomas; Hunt, S; Månsson, Wiking.

In: BJU International, Vol. 90, No. 4, 2002, p. 386-390.

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T1 - The quality of life in men after radical cystectomy with a continent cutaneous diversion or orthotopic bladder substitution: is there a difference?

AU - Månsson, Åsa

AU - Davidsson, Thomas

AU - Hunt, S

AU - Månsson, Wiking

N1 - The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Nursing (Closed 2012) (013065000), Department of Urology, Lund (013077000)

PY - 2002

Y1 - 2002

N2 - Objective To compare the quality of life (QoL) in men after radical cystectomy who had either a continent cutaneous diversion or orthotopic bladder substitution. Patients and methods Eighty men with at least 6 months of follow-up and with no signs of recurrent disease after radical cystectomy for bladder carcinoma, and who had either a continent cutaneous diversion or orthotopic bladder substitution, were sent two types of questionnaire, the Functional Assessment of Cancer Therapy-Bladder Cancer (FACT-Bl) and the Hospital Anxiety and Depression Scale (HADS), to determine their QoL. Results The FACT-Bl and HADS questionnaires were returned by 90% and 71% of the patients, respectively ( P < 0.05). In the replies to the generic version of FACT-Bl there were no differences between the groups in any domain, the scores being high in all. In questions covering intestinal, urinary and sexual items, patients with continent diversion had less trouble controlling urine (P< 0.0001), had to empty less often (P < 0.001), and had fewer symptoms when emptying (P < 0.05). Patients with neobladders had a better appreciation of appearance and better preserved erectile function (both P < 0.05). In the answers to the HADS, the mean scores were low (within the normal ranges) and did not differ between the groups. Conclusion Using two instruments tested for validity and reliability, there were no differences between patients with continent diversion and those with orthotopic substitution.

AB - Objective To compare the quality of life (QoL) in men after radical cystectomy who had either a continent cutaneous diversion or orthotopic bladder substitution. Patients and methods Eighty men with at least 6 months of follow-up and with no signs of recurrent disease after radical cystectomy for bladder carcinoma, and who had either a continent cutaneous diversion or orthotopic bladder substitution, were sent two types of questionnaire, the Functional Assessment of Cancer Therapy-Bladder Cancer (FACT-Bl) and the Hospital Anxiety and Depression Scale (HADS), to determine their QoL. Results The FACT-Bl and HADS questionnaires were returned by 90% and 71% of the patients, respectively ( P < 0.05). In the replies to the generic version of FACT-Bl there were no differences between the groups in any domain, the scores being high in all. In questions covering intestinal, urinary and sexual items, patients with continent diversion had less trouble controlling urine (P< 0.0001), had to empty less often (P < 0.001), and had fewer symptoms when emptying (P < 0.05). Patients with neobladders had a better appreciation of appearance and better preserved erectile function (both P < 0.05). In the answers to the HADS, the mean scores were low (within the normal ranges) and did not differ between the groups. Conclusion Using two instruments tested for validity and reliability, there were no differences between patients with continent diversion and those with orthotopic substitution.

KW - self-reported questionnaires

KW - quality of life

KW - substitution

KW - orthotopic bladder

KW - radical cystectomy

KW - continent diversion

U2 - 10.1046/j.1464-410X.2002.02899.x

DO - 10.1046/j.1464-410X.2002.02899.x

M3 - Article

VL - 90

SP - 386

EP - 390

JO - BJU International

JF - BJU International

SN - 1464-4096

IS - 4

ER -