Influência da técnica de derivação urinária na qualidade de vida dos pacientes com câncer invasivo de bexiga submetidos a cistectomia radical / The influence of urinary diversion on quality of life in patients with invasive bladder cancer after radical cystectomy

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

23/11/2012

RESUMO

INTRODUCTION: Cancer patients require a different view of the multidisciplinary team because cancer may cause long-term stress. The concern with death, fear related to pain and physical deformities leave patients in complete of anxiety and depression settle in the diagnosis and continue after treatment. Physical and mental distress is common while living with cancer illness. Patients commonly suffer because the concern with death, fear related to pain and physical deformities. For the treatment of bladder cancer a radical cystectomy is performed and the choice of transposed intestinal segment surgery ranges from incontinent urinary diversion through an abdominal stoma (ileal conduit diversion) to continent urinary diversion to orthotopic bladder replacement (orthotopic neobladder), both have their benefits and drawbacks that will directly influence the quality of life of these patients. OBJECTIVE: We compared health-related quality of life between patients who underwent orthotopic neobladder or an ileal conduit urinary diversion following radical cystectomy. METHOD: The study included 67 patients who underwent radical cystectomy for bladder cancer, divided into two groups: 1) Neobladder; 2) Ileal conduit diversion (Bricker). Health related quality of life was evaluated using the Short Form-36 survey, a patient demographic sheet and the anxiety and depression scale. RESULTS: When compared the mean age, we found that the mean age of the Bricker group is significantly higher than in the neobladder group (p = 0.036). There were no significant differences in sex ratios between the two groups (p = 0.963). There was no significant difference in any scale scores between the neobladder and ileal conduit groups. Conclusion: No significant postoperative differences were observed in the QOL associated with the urinary diversion.

ASSUNTO(S)

anxiety disorders cistectomia complicações pós-operatórias cystectomy depressão depression derivação urinária estomia neoplasias da bexiga urinária ostomy postoperative complications qualidade de vida quality of life transtornos de ansiedade urinary bladder urinary diversion

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