Comparation Of Quality Of Life In Different Types Of Urinary Diversion After Radical Cystectomy

Objectives:Using bladder cancer specific measurement FACT—BL to evaluate quality of life of patients who underwent the operation of Studer's ileal neobladder, ileal conduit or cutaneous ureterostomy,copare the difference of general quality of life and bladder cancer related quality of life among the three types of urinary diversion and to analsys the cases of this differences in order to improve the quality of life by providing basis of quality of life for patients who underwent radical cystectomy and want to choice a type of urinary diversion.Material and methods:In this study we collected the patients who have diagnosed with bladder cancer,underwent radical cystectomy and accept urinary diversion of Studer's ileal neobladder,ileal conduit or cutaneous ureterostomy in our department during Dec 2006 and May 2008,choice the suitable cases,then collect the information of the patients such as name,sex,age,operation date,type of operation, type of pathology,pathological stage,address and telephone number.Test the quality of life using bladder cancer specific measurement FACT—BL by inviting the patients to our department or mail them questionnaires or phone them.compare the quality of life of patients among the three types of urinary diversion in different time after the operation.All descriptive data are reported as the mean±standard deviation(SD).The differences in the mean values between the ileal neobladderand the cutaneous diversion patients were analysed by Indipendent Samples T test,The data regarding the percentage were analysed by x~2 test.Significance was defined at the 5%level.The statistic analysis was completed by SPSS-13.1,tables and picyures were made by Excel 2003.Results:The HRQOL of the three groups patients were gradually rised after the operation,within the 12 mouths after the operation the difference among the three groups was not significant(P＞0.05) and from the 12 mouths after the operation the Studer's ileal neobladder group had a higher HRQOL then ileal conduit and cutaneous ureterostomy,the difference was significant(P＜0.05).the difference in physical well being,social and family well being,emotional well being and FACT-G was not significant(P＞0.05),but the neobladder group had a batter HRQOL in functional well being and FACT-BL,the difference was significant(P＜0.05).Conelusions:In our study the neobladder group had a batter HRQOL then the other two groups.So when choice a type urinary diversion,the Studer's ileal neobladder should be considerd first if the patients can tolerate.The sample of this study was small and the time of following up was short,so further study are necessary to investigate the influence of different types of urinary diversion in HRQOL.