Abstract
The aim of the study was to compare health-related quality of life (HRQOL) in 3 groups of patients with different urinary diversions using the “36 Item Short-Form Healt Survey” questionnaire; metabolic changes related to urinary diversion were also evaluated. The study included 22 patients who underwent radical cystectomy for bladder cancer: 10 pts had an an ileal-conduit (Group I), 9 had a retto-sigmoid pouch sec. Mainz II (Group II), and 3 had an ileal orthotopic neobladder (Group III).
There were no significant differences among the 3 groups regarding the metabolic status. The SF -36 survey showed that patients with ileal-conduit (Group I) had a significant decrease of general health (GH) and of physical functioning (AF) scores compared to patients with continent urinary diversion (Groups II and III). This appeared to be related to a decreased emotional drive (RE) rather than to a loss of vitality (VT).
There were no significant differences in any scale score between Group II and III.
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