Distressful symptoms after radical cystectomy with urinary diversion for urinary bladder cancer:: A Swedish population-based study
Distressful symptoms after radical cystectomy with urinary diversion for urinary bladder cancer:: A Swedish population-based study
复制标题
DOI：
10.1159/000049766
复制
发表时间：
2001-08-01
期刊：
影响因子：
23.4
通讯作者：
Steineck, G
中科院分区：
文献类型：
--
作者：
Henningsohn, L;Wijkström, H;Steineck, G
目的：研究膀胱癌根治术后痛苦症状的过度发生率。方法：我们纳入了斯德哥尔摩县1996年以前因膀胱癌行膀胱切除术的所有患者。对照组是从普通人群中随机选择的。信息收集通过匿名邮寄questionnaire.Results：完成的问卷被返回310（71%）控制和251（85%）cytomotomized个人。据报道，在接受手术的个体中，排便急迫性增加了5倍（储尿器）和9倍（导管），粪便渗漏增加了4倍（储尿器）和6倍（导管）。与对照组相比，在切除细胞的个体中，尿路感染增加了3倍，在前一年中，26%的患者报告了有症状的感染。与对照组相比，接受手术的男性对疾病导致的身体吸引力下降的感知增加了5倍以上。大多数，201人中的135人（67%）报告说，如果保留膀胱的替代手术使生存前景降低1%，他们就会拒绝。结论：膀胱切除术后患者的情况由于肠道和性功能改变、尿路感染和吸引力下降而受到相当大的损害。然而，尽管如此，大多数患者仍不愿意牺牲生存。版权所有（C）2001 S. Karger AG，巴塞尔。
Objective:To study the excess prevalence of distressful symptoms after radical surgery for urinary bladder cancer.Methods:We included all patients who underwent cystectomy due to bladder cancer before 1996 in Stockholm County. A control group was randomly selected from the general population. Information was collected by means of an anonymous postal questionnaire.Results: Completed questionnaires were returned by 310 (71%) controls and 251 (85%) cystectomized individuals. A 5-fold (reservoir) and 9-fold (conduit) increase in defecation urgency and a 4-fold (reservoir) and 6-fold (conduit) increase in faecal leakage were reported in individuals operated on. Urinary tract infection was increased 3-fold in cystectomized individuals compared with controls, during the previous year 26% of the patients reported a symptomatic infection. The perception of a reduced physical attractiveness due to disease was more than 5-fold increased in the men operated on compared to the controls. The majority, 135 out of 201 (67%), reported that they would have refused alternative bladder-sparing procedures if they decreased the prospects of survival by even as little as 1%.Conclusions: The patient's situation after cystectomy is considerably impaired due to changed bowel and sexual function, urinary tract infections and a sense of decreased attractiveness. However, most patients are in spite of this unwilling to compromise survival. Copyright (C) 2001 S. Karger AG, Basel.