Korean J Urol.  2014 Mar;55(3):161-166. 10.4111/kju.2014.55.3.161.

Body Image Following Radical Cystectomy and Ileal Neobladder or Conduit in Korean Patients

Affiliations
  • 1Department of Urology, Ewha Womans University School of Medicine, Seoul, Korea. leedohn@ewha.ac.kr

Abstract

PURPOSE
The aim of this study was to compare the body images of patients who underwent radical cystectomy with an orthotopic ileal neobladder or an ileal conduit.
MATERIALS AND METHODS
A total of 114 adult patients who underwent radical cystectomy between March 2006 and December 2012 at a single institution, Ewha Womans University Mokdong Hospital in Korea, were evaluated in this retrospective chart-review study. Forty-two patients (29 orthotopic ileal neobladder and 13 ileal conduit) who completed questionnaires were included in the final analysis; the remaining patients were excluded. The patients were assessed with two questionnaires: the Korean version of the Body Image Scale (K-BIS) and the self-designed questionnaire.
RESULTS
The results did not differ significantly by age at surgery, time from surgery to survey, pathologic stage, grade, histologic subtype, education, residency, or Eastern Cooperative Oncology Group performance status, but did differ significantly by age at survey and sex. The mean summary score for K-BIS showed significant differences between the two groups (p=0.001). We found that patients who underwent an orthotopic ileal neobladder had a significantly better body image. The self-designed questionnaire score was not significantly different between the two groups (p=0.572).
CONCLUSIONS
In our retrospective analysis, patients who underwent orthotopic ileal neobladder had a superior body image compared with those who underwent an ileal conduit.

Keyword

Body image; Cystectomy; Urinary bladder neoplasm; Urinary diversion

MeSH Terms

Adult
Body Image*
Cystectomy*
Education
Female
Humans
Internship and Residency
Korea
Questionnaires
Retrospective Studies
Urinary Bladder Neoplasms
Urinary Diversion

Reference

1. Ferlay J, Autier P, Boniol M, Heanue M, Colombet M, Boyle P. Estimates of the cancer incidence and mortality in Europe in 2006. Ann Oncol. 2007; 18:581–592.
2. Lance RS, Grossman HB. Cystectomy in the elderly. Semin Urol Oncol. 2001; 19:51–55.
3. Karakiewicz PI, Shariat SF, Palapattu GS, Perrotte P, Lotan Y, Rogers CG, et al. Precystectomy nomogram for prediction of advanced bladder cancer stage. Eur Urol. 2006; 50:1254–1260.
4. Ashley MS, Daneshmand S. Factors influencing the choice of urinary diversion in patients undergoing radical cystectomy. BJU Int. 2010; 106:654–657.
5. Ahmadi H, Skinner EC, Simma-Chiang V, Miranda G, Cai J, Penson DF, et al. Urinary functional outcome following radical cystoprostatectomy and ileal neobladder reconstruction in male patients. J Urol. 2013; 189:1782–1788.
6. World Health Organization (WHO) Consensus Conference on Bladder Cancer. Hautmann RE, Abol-Enein H, Hafez K, Haro I, Mansson W, et al. Urinary diversion. Urology. 2007; 69:1 Suppl. 17–49.
7. Skinner EC. Quality of life with reconstruction. Semin Urol Oncol. 2001; 19:56–58.
8. Jeong IG, You D, Kim J, Kim SC, Hong JH, Ahn H, et al. Factors associated with non-orthotopic urinary diversion after radical cystectomy. World J Urol. 2012; 30:815–820.
9. Hopwood P. The assessment of body image in cancer patients. Eur J Cancer. 1993; 29A:276–281.
10. Porter MP, Penson DF. Health related quality of life after radical cystectomy and urinary diversion for bladder cancer: a systematic review and critical analysis of the literature. J Urol. 2005; 173:1318–1322.
11. Hedgepeth RC, Gilbert SM, He C, Lee CT, Wood DP Jr. Body image and bladder cancer specific quality of life in patients with ileal conduit and neobladder urinary diversions. Urology. 2010; 76:671–675.
12. Sogni F, Brausi M, Frea B, Martinengo C, Faggiano F, Tizzani A, et al. Morbidity and quality of life in elderly patients receiving ileal conduit or orthotopic neobladder after radical cystectomy for invasive bladder cancer. Urology. 2008; 71:919–923.
13. Hobisch A, Tosun K, Kinzl J, Kemmler G, Bartsch G, Holtl L, et al. Quality of life after cystectomy and orthotopic neobladder versus ileal conduit urinary diversion. World J Urol. 2000; 18:338–344.
14. Khang D, Rim HD, Woo J. The korean version of the body image scale-reliability and validity in a sample of breast cancer patients. Psychiatry Investig. 2013; 10:26–33.
15. Hopwood P, Fletcher I, Lee A, Al Ghazal S. A body image scale for use with cancer patients. Eur J Cancer. 2001; 37:189–197.
16. Hart S, Skinner EC, Meyerowitz BE, Boyd S, Lieskovsky G, Skinner DG. Quality of life after radical cystectomy for bladder cancer in patients with an ileal conduit, cutaneous or urethral kock pouch. J Urol. 1999; 162:77–81.
17. Allareddy V, Kennedy J, West MM, Konety BR. Quality of life in long-term survivors of bladder cancer. Cancer. 2006; 106:2355–2362.
18. Kikuchi E, Horiguchi Y, Nakashima J, Ohigashi T, Oya M, Nakagawa K, et al. Assessment of long-term quality of life using the FACT-BL questionnaire in patients with an ileal conduit, continent reservoir, or orthotopic neobladder. Jpn J Clin Oncol. 2006; 36:712–716.
19. Boyd SD, Feinberg SM, Skinner DG, Lieskovsky G, Baron D, Richardson J. Quality of life survey of urinary diversion patients: comparison of ileal conduits versus continent Kock ileal reservoirs. J Urol. 1987; 138:1386–1389.
20. Gerharz EW, Mansson A, Hunt S, Skinner EC, Mansson W. Quality of life after cystectomy and urinary diversion: an evidence based analysis. J Urol. 2005; 174:1729–1736.
21. Mansson A, Davidsson T, Hunt S, Mansson W. The quality of life in men after radical cystectomy with a continent cutaneous diversion or orthotopic bladder substitution: is there a difference? BJU Int. 2002; 90:386–390.
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