Defecation disturbances after cystectomy for urinary bladder cancer.
BJU Int
; 108(2): 196-203, 2011 Jul.
Article
in En
| MEDLINE
| ID: mdl-21050359
ABSTRACT
OBJECTIVE:
⢠To describe and compare long-term defecation disturbances in patients who had undergone a cystectomy due to urinary bladder cancer with non-continent urostomies, continent reservoirs and orthotopic neobladder urinary diversions. PATIENTS ANDMETHODS:
⢠During their follow-up we attempted to contact all men and women aged 30-80 years who had undergone cystectomy and urinary diversion at seven Swedish hospitals. ⢠During a qualitative phase we identified defecation disturbances as a distressful symptom and included this item in a study-specific questionnaire together with free-hand comments. The patients completed the questionnaire at home. ⢠Outcome variables were dichotomized and the results are presented as relative risks with 95% confidence interval.RESULTS:
⢠The questionnaire was returned from 452 (92%) of 491 identified patients. Up to 30% reported problems with the physiological emptying process of stool (bowel movement, sensory rectal function, awareness of need for defecation, motoric rectal and anal function, straining ability). ⢠A sense of decreased straining capacity was reported by 20% of the men and women with non-continent urostomy and 14% and 8% of those with continent reservoirs and orthotopic neobladders, respectively.CONCLUSIONS:
⢠Of the cystectomized individuals 30% reported problems with the physiological emptying process of stool (bowel movement, sensory rectal function, awareness of need for defecation, motoric rectal and anal function, straining ability). ⢠Those wanting to improve the situation for bladder cancer survivors may consider communicating before surgery the possibility of stool-emptying problems, and asking about them after surgery.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Urinary Diversion
/
Urinary Bladder Neoplasms
/
Cystectomy
/
Urinary Reservoirs, Continent
/
Defecation
Type of study:
Etiology_studies
/
Prognostic_studies
/
Qualitative_research
Aspects:
Patient_preference
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
BJU Int
Journal subject:
UROLOGIA
Year:
2011
Document type:
Article
Affiliation country:
Sweden