Complications and quality of life in patients with ileal conduit diversion
Momose, H.; Hirao, Y.; Tanaka, N.; Ozono, S.; Okajima, E.; Kaneko, K.; Yoshida, K.; Yamada, K.; Hiramatsu, T.; Watanabe, S.
Hinyokika Kiyo. Acta Urologica Japonica 41(11): 927-935
1995
ISSN/ISBN: 0018-1994 PMID: 8533700 Document Number: 445981
A series of 180 patients treated with ileal conduit urinary diversion at Nara Medical University and its affiliated hospitals were reviewed. The patients ages at the time of operation ranged from 21 to 79 years old with an average of 60.9 years old and the average postoperative follow-up period was 44.2 months. Early complications occurred in 60 patients (33.3%) and 9 (5.0%) of them resulted in post-operative deaths. Late complications were noticed in 54 (31.6%) of the 171 patients. Frequent late complications included peristomal dermatitis (37.3%), ureteroileal stenosis (17.99%) and urolithiasis (11.9%), for the latter two of which endourological treatments seemed to be effective. To be emphasized is that more attentive care should be paid to the condition of the peristomal skin during follow-up. A questionnaire survey on 30 patients revealed that 92.9% of them were satisfied with the quality of their daily life as a whole, although the decline in social activities rather than basic life was noticeable. Immediate attention should be paid for the establishment of a new system to compare more scientifically the quality of life of patients with various urinary diversions.