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Urostomy and health-related quality of life in patients with lower urinary tract dysfunction

Schultz, Alexander; Boye, Birgitte; Jonsson, Olof; Thind, Peter and Månsson, Wiking LU (2015) In Scandinavian Journal of Urology2013-01-01+01:00 49(1). p.2-7
Abstract
Objective. Urinary diversion may be an option in patients with disabling lower urinary tract dysfunction (DLUTD), refractory to conservative and minor invasive treatment. The aim of this study was to evaluate whether urostomy improves quality of life and cost of surgery, in terms of complications, loss of kidney function and hospital stay, in these patients. Material and methods. This prospective study included 52 consecutive patients (nine men and 43 women) with various benign disorders. Twenty-six patients received an ileal conduit and 26 a continent cutaneous diversion. The patients completed the general health-related quality of life instrument WHOQOL-BREF and a urinary problem-specific quality of life instrument preoperatively and 6... (More)
Objective. Urinary diversion may be an option in patients with disabling lower urinary tract dysfunction (DLUTD), refractory to conservative and minor invasive treatment. The aim of this study was to evaluate whether urostomy improves quality of life and cost of surgery, in terms of complications, loss of kidney function and hospital stay, in these patients. Material and methods. This prospective study included 52 consecutive patients (nine men and 43 women) with various benign disorders. Twenty-six patients received an ileal conduit and 26 a continent cutaneous diversion. The patients completed the general health-related quality of life instrument WHOQOL-BREF and a urinary problem-specific quality of life instrument preoperatively and 6 and 12 months after surgery. Length of hospital stay and complications were registered. Intravenous urography and determination of glomerular filtration rate (GFR) were performed preoperatively and 12 months postoperatively. Results. Disease-specific and health-related quality of life improved significantly (p < 0.0005 and p < 0.05) in all domains except for social relationship, from preoperative to 12 months after surgery. There was no difference in improvement between patients with continent and those with incontinent diversion. Mean hospital stay was 14 days. Early and late complications required open surgery in 12 patients (23%). GFR was unchanged postoperatively. Conclusions. Urinary diversion improves health-related and disease-specific quality of life in patients with DLUTD refractory to conservative and minor invasive treatments. The burden of surgery is acceptable. Urinary diversion could be recommended more often in such patients. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
neurological disease, quality of life, urinary diversion, urological, problems
in
Scandinavian Journal of Urology2013-01-01+01:00
volume
49
issue
1
pages
2 - 7
publisher
Taylor & Francis
external identifiers
  • wos:000347248200001
  • scopus:84920477539
ISSN
2168-1813
DOI
10.3109/21681805.2013.876095
language
English
LU publication?
yes
id
7409f16e-930b-47a1-a0ad-8946f93d0c22 (old id 5076018)
date added to LUP
2015-03-02 07:08:31
date last changed
2017-08-06 03:08:03
@article{7409f16e-930b-47a1-a0ad-8946f93d0c22,
  abstract     = {Objective. Urinary diversion may be an option in patients with disabling lower urinary tract dysfunction (DLUTD), refractory to conservative and minor invasive treatment. The aim of this study was to evaluate whether urostomy improves quality of life and cost of surgery, in terms of complications, loss of kidney function and hospital stay, in these patients. Material and methods. This prospective study included 52 consecutive patients (nine men and 43 women) with various benign disorders. Twenty-six patients received an ileal conduit and 26 a continent cutaneous diversion. The patients completed the general health-related quality of life instrument WHOQOL-BREF and a urinary problem-specific quality of life instrument preoperatively and 6 and 12 months after surgery. Length of hospital stay and complications were registered. Intravenous urography and determination of glomerular filtration rate (GFR) were performed preoperatively and 12 months postoperatively. Results. Disease-specific and health-related quality of life improved significantly (p &lt; 0.0005 and p &lt; 0.05) in all domains except for social relationship, from preoperative to 12 months after surgery. There was no difference in improvement between patients with continent and those with incontinent diversion. Mean hospital stay was 14 days. Early and late complications required open surgery in 12 patients (23%). GFR was unchanged postoperatively. Conclusions. Urinary diversion improves health-related and disease-specific quality of life in patients with DLUTD refractory to conservative and minor invasive treatments. The burden of surgery is acceptable. Urinary diversion could be recommended more often in such patients.},
  author       = {Schultz, Alexander and Boye, Birgitte and Jonsson, Olof and Thind, Peter and Månsson, Wiking},
  issn         = {2168-1813},
  keyword      = {neurological disease,quality of life,urinary diversion,urological,problems},
  language     = {eng},
  number       = {1},
  pages        = {2--7},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Urology2013-01-01+01:00},
  title        = {Urostomy and health-related quality of life in patients with lower urinary tract dysfunction},
  url          = {http://dx.doi.org/10.3109/21681805.2013.876095},
  volume       = {49},
  year         = {2015},
}