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Patients' acceptance of urinary diversion. The pouch of Sisyphus

von Rundstedt, F. -C.; Roth, S.; Woodhouse, C. R. J.; Månsson, Wiking LU and Gerharz, E. W. (2012) In Urologe: Ausgabe A 51(4). p.515-521
Abstract
It is important that any patient with a urinary diversion can accept the psychological impact alongside the surgical and physical aspects. However, there are currently no validated methods or instruments available to allow direct measurement of this phenomenon in these patients. Health-related quality of life (HRQoL) is often high following different types of urinary diversion - this may suggest a high acceptance level and thus may act as a secondary end point. Such an assessment is a retrospective validation of successful patient selection, allowing us to redirect the nihilistic misinterpretation that urologists should return to offering ileal conduits as a standard. In modern urinary diversion, high patient acceptance develops from... (More)
It is important that any patient with a urinary diversion can accept the psychological impact alongside the surgical and physical aspects. However, there are currently no validated methods or instruments available to allow direct measurement of this phenomenon in these patients. Health-related quality of life (HRQoL) is often high following different types of urinary diversion - this may suggest a high acceptance level and thus may act as a secondary end point. Such an assessment is a retrospective validation of successful patient selection, allowing us to redirect the nihilistic misinterpretation that urologists should return to offering ileal conduits as a standard. In modern urinary diversion, high patient acceptance develops from comprehensive counselling providing a realistic expectation, careful patient-to-method-matching, strict adherence to surgical detail during the procedure and a meticulous lifelong follow-up. Coping strategies, disease-related social support and confidence in the success of treatment are among other factors which contribute to acceptance of urinary reconstruction as either independent or combined factors. Significant experience is required in every respect, as misjudgement and mistakes in any of these issues may be detrimental to the patients' health. It should be acknowledged that there is no 'best' urinary diversion in general terms. A reconstructive surgeon must have all techniques available and choices need to be tailored to the individual patient. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acceptance, Quality of life, Urinary diversion, Ileal conduit, Neobladder
in
Urologe: Ausgabe A
volume
51
issue
4
pages
515 - 521
publisher
Springer
external identifiers
  • wos:000304113900008
  • scopus:84863785411
ISSN
0340-2592
DOI
10.1007/s00120-012-2817-6
language
German
LU publication?
yes
id
e77aa567-e8b6-4097-a992-23111deae373 (old id 2819425)
date added to LUP
2012-07-03 10:26:45
date last changed
2017-02-22 11:44:03
@article{e77aa567-e8b6-4097-a992-23111deae373,
  abstract     = {It is important that any patient with a urinary diversion can accept the psychological impact alongside the surgical and physical aspects. However, there are currently no validated methods or instruments available to allow direct measurement of this phenomenon in these patients. Health-related quality of life (HRQoL) is often high following different types of urinary diversion - this may suggest a high acceptance level and thus may act as a secondary end point. Such an assessment is a retrospective validation of successful patient selection, allowing us to redirect the nihilistic misinterpretation that urologists should return to offering ileal conduits as a standard. In modern urinary diversion, high patient acceptance develops from comprehensive counselling providing a realistic expectation, careful patient-to-method-matching, strict adherence to surgical detail during the procedure and a meticulous lifelong follow-up. Coping strategies, disease-related social support and confidence in the success of treatment are among other factors which contribute to acceptance of urinary reconstruction as either independent or combined factors. Significant experience is required in every respect, as misjudgement and mistakes in any of these issues may be detrimental to the patients' health. It should be acknowledged that there is no 'best' urinary diversion in general terms. A reconstructive surgeon must have all techniques available and choices need to be tailored to the individual patient.},
  author       = {von Rundstedt, F. -C. and Roth, S. and Woodhouse, C. R. J. and Månsson, Wiking and Gerharz, E. W.},
  issn         = {0340-2592},
  keyword      = {Acceptance,Quality of life,Urinary diversion,Ileal conduit,Neobladder},
  language     = {ger},
  number       = {4},
  pages        = {515--521},
  publisher    = {Springer},
  series       = {Urologe: Ausgabe A},
  title        = {Patients' acceptance of urinary diversion. The pouch of Sisyphus},
  url          = {http://dx.doi.org/10.1007/s00120-012-2817-6},
  volume       = {51},
  year         = {2012},
}