Health-related quality of life after urinary diversion: continent diversion with the Kock pouch compared with ileal conduit. A questionnaire study
Abstract
A questionnaire study was carried out to compare the health-related quality of life after continent urinary diversion using a Kock pouch with that following ileal conduit diversion. 76 patients completed the questionnaire: 26 patients had a continent and 50 an ileal conduit diversion, median follow-up was 0.9 year (range 0.5-4.4) and 4.9 years (range 2.4-14.7), respectively. The type of operation carried significant relation to the presence of leakage distress associated with urine leakage; 78% among conduit patients versus 50% among continent diversion patients experienced distress. Physical contact between patient and partner was reduced significantly less following continent diversion: 16% against 43% among patients with conduit diversion. Global satisfaction with life was high and similar in the two groups. Continent urinary diversion appears to be superior to conventional ileal conduit diversion.
How strong is the evidence?
Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 76 participants or records.
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