MP53-06 QUALITY OF LIFE IN ELDERLY PATIENTS AFTER MINIMALLY INVASIVE RADICAL CYSTECTOMY: COMPARISON STUDY BETWEEN SINGLE STOMA URETERO-CUTANEOSTOMY AND INTRACORPOREAL ILEAL CONDUIT URINARY DIVERSION

Abstract

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Ureter (including Pyeloplasty) and Bladder Reconstruction (including fistula), Augmentation, Substitution, Diversion II (MP53)1 Sep 2021MP53-06 QUALITY OF LIFE IN ELDERLY PATIENTS AFTER MINIMALLY INVASIVE RADICAL CYSTECTOMY: COMPARISON STUDY BETWEEN SINGLE STOMA URETERO-CUTANEOSTOMY AND INTRACORPOREAL ILEAL CONDUIT URINARY DIVERSION Antonio Luigi Pastore, Andrea Fuschi, Alessia Martoccia, Lorenzo Capone, Gennaro Velotti, Paolo Pietro Suraci, Scalzo Silvio, Martina Maggi, Yazan Al Salhi, and Antonio Carbone Antonio Luigi PastoreAntonio Luigi Pastore More articles by this author , Andrea FuschiAndrea Fuschi More articles by this author , Alessia MartocciaAlessia Martoccia More articles by this author , Lorenzo CaponeLorenzo Capone More articles by this author , Gennaro VelottiGennaro Velotti More articles by this author , Paolo Pietro SuraciPaolo Pietro Suraci More articles by this author , Scalzo SilvioScalzo Silvio More articles by this author , Martina MaggiMartina Maggi More articles by this author , Yazan Al SalhiYazan Al Salhi More articles by this author , and Antonio CarboneAntonio Carbone More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002083.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Radical cystectomy (RC) is the surgical standard treatment for invasive/high risk bladder cancer. However, this treatment is associated with detrimental effects on patient well-being and quality of life. The aim of this study is to compare clinical outcomes and related Quality of Life (QoL) of patients who underwent single stoma ureterocutaneostomy (SS-UCS) or intracorporeal ileal conduit (IC) after minimally invasive RC using a validated questionnaire related to the quality of life of ostomate patients. METHODS: In addition to postoperative outcomes, QoL was assessed, at 3 and 6 months, using a specific questionnaire to assess the quality of life among ostomates (Stoma-QoL), which is designed to assess quality of life in relation to stoma management in the daily routine. It represents a valid and easy to fill test, able to provide a general overview of the patient's quality of life. RESULTS: The study was conducted on 78 elderly patients who underwent, from May 2016 to March 2020, Laparoscopic or Robot-Assisted RC with subsequent SS-UCS (41 patients) and intracorporeal IC (37 patients). Two homogeneous groups were obtained at preoperative evaluation. The post-operative assessment of QoL using the Stoma-QoL questionnaire showed, 3 months after surgical procedure, an average score of 52.2 (95% CI: 49.4-55.0; ES: 1.61) in the IC group, comparable to score 52.4 ( 95% CI: 50.3-54.5; ES: 1.62) obtained in SS-UCS group. Even at 6 months, the values obtained are statistically homogeneous between the two groups, with an average score of 63.4 (95% CI: 59.2-67.6; ES: 1.84) and 63.6 (95% CI: 61.3-65.9; ES: 1.-82) respectively between IC group and UCS-SS. better postoperative results were obtained in the group with a single stoma according to operative time, blood loss, hospital of stay, perioperative complications. CONCLUSIONS: In elderly patients, a single stoma uretero-cutaneostomy after minimally invasive RC represents a valid alternative to the commonly used IC diversion with better perioperative outcomes and without compromising the postoperative QoL. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e940-e941 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Antonio Luigi Pastore More articles by this author Andrea Fuschi More articles by this author Alessia Martoccia More articles by this author Lorenzo Capone More articles by this author Gennaro Velotti More articles by this author Paolo Pietro Suraci More articles by this author Scalzo Silvio More articles by this author Martina Maggi More articles by this author Yazan Al Salhi More articles by this author Antonio Carbone More articles by this author Expand All Advertisement Loading ...