Impact on quality of life and sexual satisfaction of continent cystostomy with enterocystoplasty in an adult neurologic population

• Published in: Neurourology and urodynamics 2018-04, Vol.37 (4), p.1405-1412
• Main Authors: Lam Van Ba, Ornella, Soustelle, Laurent, Wagner, Laurent, Siegler, Nicolas, Boukaram, Michel, Naoum, Kamel Ben, Droupy, Stéphane, Chevrot, Armand, Costa, Pierre
• Format: Article
• Language: English
• Subjects: Autonomy; Bladder; Human health and pathology; Life Sciences; Quality of life; Renal function; Sexuality; Surgery; Urinary tract; Urology and Nephrology
• ISSN: 0733-2467; 1520-6777
• DOI: 10.1002/nau.23461

To evaluate long-term general and urinary quality of life (QOL) and sexual satisfaction in adult neurologic patients undergoing continent cystostomy surgery associated with a bladder enlargement to treat neurogenic lower urinary tract dysfunction. Monocentre, retrospective series of adult neurologic patients who underwent continent cystostomy with bladder enlargement and followed-up in the long-term. We assessed during follow-up, urinary and renal function and patients filled QOL questionnaires on general QOL, sexuality and urinary (short form Qualiveen) disability. Fifty-three patients were included and followed-up 77 months on average. Rates of patients' satisfaction, stomal and urethral continences were respectively of 98.7% (n = 51), 94.1% (n = 48), and 80.4% (n = 41). Impact of surgery on general QOL and autonomy were strong and positive (respective mean scores of 4.8 and 4.7 on a scale ranging from 1 to 5). Mean overall urinary Qualiveen QOL score was 0.8 (0.09-2.67) indicating a low negative impact of urinary disability on QOL. In patients