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Abstract

We thank the authors for their interest in our study. We agree that our study was based on a small cohort of patients, as has been mentioned as a limitation in our article. To avoid bias, preoperative counselling was done independently by the surgeon and the cancer specialist nurse on more than 1 occasion. Quality of Life and Body Image for Bladder Cancer Patients Undergoing Radical Cystectomy and Urinary Diversion—A Prospective Cohort Study With a Systematic Review of LiteratureUrologyVol. 74Issue 5PreviewTo determine whether health and body image are important determinants of quality of life (QoL) for patients undergoing urinary diversion (UD). Patients with advanced bladder cancer who undergo cystectomy and UD face potential serious morbidity (25%-40%) and a small risk of mortality (0%-4%). The systematic review compares QoL and body image for different types of diversions. Full-Text PDF Editorial CommentUrologyVol. 74Issue 5PreviewRadical cystectomy is associated with significant morbidity and alteration in quality of life (QOL), with most of the morbidity related to the use of intestinal segments for urinary diversion. The published data on QOL of patients with bladder cancer, which has focused primarily on differences in health-related QOL (HRQOL) by urinary diversion types, has failed to identify a clearly superior approach. However, identifying those would be valuable to patients seeking answers before making a life-altering decision. Full-Text PDF