Abstract | OBJECTIVES: MATERIALS AND METHODS: From March 2004 to November 2010, 48 patients (36 women and 12 men with a mean age of 50.6 ± 11.8 years) treated by cystectomy with ileal conduit urinary diversion for neurogenic bladder dysfunction, prospectively completed, before and after surgery, two self-administered QoL questionnaires. Neurological diseases were multiple sclerosis in 38 cases, spinal cord injury in 7 cases, and other neurological disease in 3 cases. Cystectomy was performed by laparoscopy in all patients. QoL was measured by using two self-administered questionnaires, one questionnaire specific for urinary disorders validated in neurological patients, Qualiveen®, and the generic SF36-v2® questionnaire. Data were compared by Student's t test. RESULTS: Comparison of the Qualiveen® self-administered questionnaire scores and indices before and after surgery showed that, after surgery, patients presented a significant reduction of limitations (0.57 ± 0.64 vs. 1.55 ± 1.35, P < 0.001), constraints (2.12 ± 0.83 vs. 2.64 ± 1.12, P = 0.046) scores and the SIUP index (1.29 ± 0.65 vs. 1.79 ± 0.95, P = 0.015). No significant change in SF36-v2® scores was observed postoperatively. CONCLUSIONS:
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Authors | Julien Guillotreau, Evelyne Castel-Lacanal, Mathieu Roumiguié, Benoit Bordier, Nicolas Doumerc, Xavier De Boissezon, Bernard Malavaud, Philippe Marque, Pascal Rischmann, Xavier Gamé |
Journal | Neurourology and urodynamics
(Neurourol Urodyn)
Vol. 30
Issue 8
Pg. 1503-6
(Nov 2011)
ISSN: 1520-6777 [Electronic] United States |
PMID | 21674595
(Publication Type: Journal Article)
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Copyright | Copyright © 2011 Wiley Periodicals, Inc. |
Topics |
- Adult
- Cystectomy
(adverse effects)
- Female
- France
- Humans
- Laparoscopy
(adverse effects)
- Male
- Middle Aged
- Prospective Studies
- Quality of Life
- Surveys and Questionnaires
- Time Factors
- Treatment Outcome
- Urinary Bladder
(physiopathology, surgery)
- Urinary Bladder, Neurogenic
(physiopathology, psychology, surgery)
- Urinary Diversion
(adverse effects)
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