Review of a series of cystectomies in women for bladder cancer:Complications and quality of life.
Arch Esp Urol
; 67(4): 303-12, 2014 May.
Article
en En, Es
| MEDLINE
| ID: mdl-24892391
ABSTRACT
OBJECTIVES:
To analyze the complications and quality of life after cystectomies performed in women with bladder cancer at our hospital.METHODS:
Descriptive analysis of demographic data and early/late complications of cystectomies and urinary diversions performed in women at our hospital between 1990-2010. We also assessed quality of life using the Functional Assessment of Cancer Therapy-Bladder Cancer (ACT-BL) questionnaire and a comparison was drawn between groups of clinical variables.RESULTS:
Out of 265 cystectomies, 25 (10%) were performed in women. The predominant urinary diversion was ureterosigmoidostomy (60%), followed by cutaneous ureterostomy (16%), orthotopic ileal neo-bladder Studer pouch (12%), ileal conduit (10%) and permanent nephrostomy (4%). Mean age was 55.75 years. The most commonly occurring early complications were prolonged ileus (20%) and urinary fistula (20%). Late complications included hydronephrosis (32%) and pyelonephritis (32%). The results of quality of life questionnaires were very similar for the different types of urinary diversions, with a mean score of 104.5 out of 156 points.CONCLUSIONS:
Radical cystectomy is a high-risk procedure associated with many complications. In women, ureterosigmoidostomy may be a good choice for urinary diversion in selected patients, with a quality of life very similar to those with different urinary diversions.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Urológicos
/
Neoplasias de la Vejiga Urinaria
/
Cistectomía
Tipo de estudio:
Qualitative_research
Límite:
Female
/
Humans
Idioma:
En
/
Es
Revista:
Arch Esp Urol
Año:
2014
Tipo del documento:
Article