1419 COMPARING HEALTH RELATED QUALITY OF LIFE OUTCOMES AFTER INTRA-CORPOREAL AND EXTRA-CORPOREAL URINARY DIVERSION AFTER RADICAL CYSTECTOMY: A MULTI INSTITUTIONAL STUDY

Abstract

You have accessJournal of UrologyUrinary Diversion: Bladder Reconstruction, Augmentation, Substitution, Diversion (II)1 Apr 20131419 COMPARING HEALTH RELATED QUALITY OF LIFE OUTCOMES AFTER INTRA-CORPOREAL AND EXTRA-CORPOREAL URINARY DIVERSION AFTER RADICAL CYSTECTOMY: A MULTI INSTITUTIONAL STUDY Ahmed Aboumohamed, Kristopher Tallman, Alon Weizer, Aabroo Khan, Rakeeba Din, Ali Al-Daghmin, Diana Mehedint, Terry Creighton, Stephen Dailey, Yi Shi, Mohamed Sharif, Gregory Wilding, and Khurshid Guru Ahmed AboumohamedAhmed Aboumohamed Buffalo, NY More articles by this author , Kristopher TallmanKristopher Tallman Ann Arbor, MI More articles by this author , Alon WeizerAlon Weizer Ann Arbor, MI More articles by this author , Aabroo KhanAabroo Khan Buffalo, NY More articles by this author , Rakeeba DinRakeeba Din Buffalo, NY More articles by this author , Ali Al-DaghminAli Al-Daghmin Buffalo, NY More articles by this author , Diana MehedintDiana Mehedint Buffalo, NY More articles by this author , Terry CreightonTerry Creighton Buffalo, NY More articles by this author , Stephen DaileyStephen Dailey Ann Arbor, MI More articles by this author , Yi ShiYi Shi Buffalo, NY More articles by this author , Mohamed SharifMohamed Sharif Buffalo, NY More articles by this author , Gregory WildingGregory Wilding Buffalo, NY More articles by this author , and Khurshid GuruKhurshid Guru Buffalo, NY More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2773AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES With the increase in robot-assisted approach for radical cystectomy, Intra-corporeal urinary diversion (IUD) is now gaining wider acceptance. We compared health-related quality of life (HRQL) outcomes utilizing the validated bladder-specific Bladder Cancer Index (BCI) and European Organization for Research and Treatment of Cancer (EORTC) Body Image Scale (BIS) between IUD and Extra-corporeal urinary diversion (EUD). METHODS Patients undergoing radical cystectomy at Roswell Park Cancer Institute (RPCI) and University of Michigan (UofM) were enrolled in the study; patients who had IUD following robot-assisted radical cystectomy (RARC) at RPCI were compared to patients who underwent EUD (following either open radical cystectomy or RARC) at both centers. All patients completed the validated questionnaires (BCI and BIS), preoperatively, and at standardized postoperative intervals (at least twice postoperatively). The primary outcome measure was difference in interval and baseline BCI and BIS scores in both categories. RESULTS 107 patients were included in the study; 57 and 50 underwent IUD and EUD, respectively after radical cystectomy; all were ileal conduits. Age, American Society of Anesthesiology (ASA) score, and Pathological tumor stage were similar in both groups. Baseline urinary function, bowel habits, sexual function, and Body image based on the two HRQL questionnaires were not statistically different between both groups. Postoperative analysis at 1, 3, 6, 12, 18, and 24 months revealed statistically significant differences between both groups in overall return of sexual function in favor of the EUD group (p-value=0.039). Bowel function was better for EUD at 12 months (p-value=0.04), meanwhile the overall Bowel function over time was not statistically different between the two groups (p-value=0.068). Urinary function and body image did not show statistically significant differences between the two groups (p-value=0.93 and 0.81, respectively). CONCLUSIONS Based on BCI and BIS scores, no differences were seen between IUD and EUD in terms of urinary function, bowel habits, and body image. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e581 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ahmed Aboumohamed Buffalo, NY More articles by this author Kristopher Tallman Ann Arbor, MI More articles by this author Alon Weizer Ann Arbor, MI More articles by this author Aabroo Khan Buffalo, NY More articles by this author Rakeeba Din Buffalo, NY More articles by this author Ali Al-Daghmin Buffalo, NY More articles by this author Diana Mehedint Buffalo, NY More articles by this author Terry Creighton Buffalo, NY More articles by this author Stephen Dailey Ann Arbor, MI More articles by this author Yi Shi Buffalo, NY More articles by this author Mohamed Sharif Buffalo, NY More articles by this author Gregory Wilding Buffalo, NY More articles by this author Khurshid Guru Buffalo, NY More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...