{Reference Type}: Journal Article
{Title}: [The W-shaped ileal neobladder: Long term functional outcomes and health-related quality of life].
{Author}: Belot PY;Fassi-Fehri H;Colombel M;Matillon X;Crouzet S;Martin X;Abid N;Badet L;
{Journal}: Prog Urol
{Volume}: 26
{Issue}: 6
{Year}: May 2016
{Factor}: 1.09
{DOI}: 10.1016/j.purol.2016.03.006
{Abstract}: <B>OBJECTIVE: </B>To evaluate functional outcomes and patients' health-related quality of life over ten years after a W-shaped ileal neobladder urinary diversion.<BR><B>METHODS: </B>From 1994 to 2004, 87 patients with bladder cancer underwent a cystoprostatectomy with a W-shaped ileal neobladder. Among them, 31 patients (35.6%) were evaluated. The average follow-up was 158months, average age was 72years. We assessed functional outcomes (use of protections, USP score, uroflowmetry, postvoid residual volume), overall health-related quality of life (SF-36 score), and specific urinary-related quality of life (Ditrovie scale).<BR><B>RESULTS: </B>Daytime continence was satisfactory in 29 patients (96.8%). Night-time continence was satisfactory in 27 patients (87.1%). Mean daytime continence, hyperactivity and dysuria scores of the USP were respectively 1.5/9, 3.2/21 and 2/9. Mean value of the maximum flow rate was 18mL/s for an average voiding volume of 324mL and an average postvoid residual volume of 70mL. The 8 dimensions of the SF-36 were all comparable with the French population's values. According to the Ditrovie scale whose average value was 1.83, the health-related quality of life was unchanged or little changed by urinary disorders in 28 patients (90.3%).<BR><B>CONCLUSIONS: </B>Our results suggest that voiding status and health-related quality of life remain satisfactory over ten years after an orthotopic ileal neobladder derivation.<BR><B>METHODS: </B>5.