直腸膀胱術後のQOLの検討

概要

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To improve the quality of life (QOL) of patients requiring urinary diversion, various surgical new techniques, such as Kock pouch or Indiana pouch, have been advocated instead of conventional techniques such as ileal conduit or cutaneous ureterostomy. Augmented valved rectum is one of the Kock's new technique of urinary diversion and has unique feature of"stomaless". In this study we evaluated the post operative QOL of four patients who received angmented valved rectum during the disease-free period. The patients were asked 61 questions regarding physical and mental conditions and their social life using the questionnaire developed by our study group.<BR>All patients were able to take a bath as pre-operative manner and at the point the operation was superior to other continent urinary reservoir, such as Kock pouch and Indiana pouch. But one patient has been suffering from the urinary incontinence at night. And some patients have a tendency of urinary frequency after the operation. There were no significant changes between the patients and the Kock, Indiana pouch patients group with respect to physical and mental conditions after the operation.<BR>Overall, the augmented valved rectum is believed to be one of a few good choices after cysto-urethrectomy because of better QOL after operations.
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