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Document Type

Original Article

Abstract

Background: Several techniques are employed for urine diversion following radical cystectomy, such as the ileal conduit, cutaneous urinary reservoir, and orthotopic neobladder. The many forms of urine diversion significantly influence multiple dimensions of quality of life (QoL), encompassing elements such as urinary function, physical well-being, sexual health, psychological adjustment, everyday functioning, and body image-related unhappiness. Aim and objectives: Is to compare between quality of life (QoL), results and complications of orthotopic urinary diversions and ileal conduit diversion after radical cystectomy in patients with muscle-invasive bladder cancer. Subjects and methods: This is a prospective study conducted at Oncosurgery Department, Al-Azhar University Hospitals and Benisuef Insurance Hospital. It will include (20) patients with orthotopic bladder and (20) patients with ileal conduit diversion who will be admitted to the Oncosurgery Department for radical cystectomy. Result: Excellent perioperative management, close life long follow up of these patients are mandatory to detect early and late complications and prevent their long term consequences especially on renal functions. Conclusion: Radical cystectomy and diversion represent a complex procedure that attempts to maximize health related QOL for patients after surgery. In appropriately chosen individuals, the establishment of an orthotopic bladder enables the removal of an external stoma and maintenance of body image, while still ensuring effective cancer management as compared to ileal conduit diversion.

Keywords

Orthotopic Neobladder; Cancer; Ileal conduit diversion; Cystectomy

Subject Area

Onco-surgery

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