Continent cutaneous urinary diversion after cystectomy for cancer: A reliable alternative? A monocentric retrospective study

作者：Vuichoud C; Perrouin Verbe M A; Phe V; Bitker M O; Parra J; Chartier Kastler E^*

来源：Progres en Urologie, 2016, 26(11-12): 642-650.

DOI：10.1016/j.purol.2016.09.061

• Continent cutaneous urinary diversion
• Bladder cancer
• Quality of life

Introduction. - Among available urinary diversion, continent cutaneous urinary diversion (CCUD) is not frequently used after cystectomy for malignancy. The aim of our work was to assess mid-term oncological and functional outcomes of CCUD in case of malignancies.
Patients and methods. - We retrospectively included all patients who underwent CCUD after radical cystectomy for cancer (according Mitrofanoff or Monti's principle) between July 2001 and November 2015 in our department. Perioperative data, oncological and functional outcomes were reported. To measure disease specific quality of life, we used the French version of Bladder Cancer Index.
Results. - Overall 12 patients were involved in the study. With a median follow-up of 32 months, we noticed one death due to cancer recurrence. Early postoperative complications occurred in 8 patients, with one requiring reoperation. The late postoperative complication rate was 66%, whose 4 patients (33%) presented cutaneous stenosis. Overall satisfaction rate was scored 8.9/10 and body image was preserved for 75% of patients. At last follow-up, continence (no urinary leakage) was achieved for 62.5% of patient. Sexual impairment was significant for 5 patients.
Conclusion. - The CCUD is a valid alternative to other urinary diversions with similar oncological results and with a similar rate of complications. The high satisfaction rate was related to the preservation of body image and the high rate of continence.

• 出版日期2016-10