Quality of life: urinary bladder augmentation or substitution in children

Purpose Bladder augmentation and substitution has been assumed to improve health-related quality of life in patients with urinary incontinence. This study was performed to elicit an evidence base for or against the above hypothesis. Methods Between 1988 and 2006, 67 bladder augmentations and 7 bladd...

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Bibliographic Details
Published in:Pediatric surgery international 2009-02, Vol.25 (2), p.195-201
Main Authors: Vajda, Peter, Kispal, Zoltan, Lenart, Imre, Farkas, Andrew, Vastyan, Attila M., Pinter, Andrew B.
Format: Article
Language:English
Subjects:
Adolescent
Bladder Exstrophy - complications
Child
Cross-Sectional Studies
Female
Humans
Male
Medicine
Medicine & Public Health
Meningomyelocele - complications
Original Article
Pediatric Surgery
Pediatrics
Quality of Life
Surgery
Surgical Stomas
Surveys and Questionnaires
Urinary Bladder - surgery
Urinary Catheterization - methods
Urinary Incontinence - etiology
Urinary Incontinence - surgery
Urinary Reservoirs, Continent
Urologic Surgical Procedures
Wheelchairs
Young Adult
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Summary:Purpose Bladder augmentation and substitution has been assumed to improve health-related quality of life in patients with urinary incontinence. This study was performed to elicit an evidence base for or against the above hypothesis. Methods Between 1988 and 2006, 67 bladder augmentations and 7 bladder substitutions were performed at our institute. Inclusion criteria for the cross-sectional study were a postoperative period of more than 1 year and an age of at least 10 years at the time of operation. A multimodality treatment-specific questionnaire (comprising 38 questions) was designed and sent to 61 patients. Quality of life was investigated in all patients and between the groups of patients with meningomyelocele (Group A) versus bladder exstrophy (Group B), patients, who are catheterizing themselves via urethra (Group C) versus stoma (Group D) and patients who are using (Group E) versus not using wheelchair (Group F) following the surgery. For the statistical analysis Students t test, Wilcoxon signed rank test and correlation analysis were used. Results A significant overall improvement was found in patients quality of life following this surgery ( P 
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-008-2317-3