Abstract
Introduction: Bladder cancer is the ninth most common cancer worldwide. The most common treatment for invasive cancer is radical cystectomy and urinary diversion (ileal conduit, continent urinary reservoir, orthotopic neobladder). In elderly patients, the standards methods of urinary diversion have been the ileal conduit and ureterocutaneostomy. Quality of life is an important consideration for patients with urinary diversion.
Purpose: The purpose of the present study was to review the literature on quality of life in elderly patients with bladder cancer following a cystectomy and urinary diversion.
Material and Method: A literature review was conducted using the electronic databases PubMed and Google scholar covering the period of time from 2006 to 2016. The following key words were entered: “quality of life”, “bladder cancer”, “elderly” “cystectomy” and a combination thereof. The exclusion criteria for the articles were languages other than English.
Results: It was found that various questionnaires were used. Some instruments measure QoL in general, whereas others are more specific with respect to the unique ways in which urinary diversion can impact patients’ lives. Furthermore, some findings are contradictory, with certain results indicating that there is no statistically significant difference between quality of life parameters when comparing patients with a neobladder to those with an ileal conduit. In another study, patients who underwent orthotopic neobladder reconstruction reported significantly better physical functioning, role functioning, social functioning and QoL in general throughout the first postoperative months compared to patients who had ileal conduit formation.
Conclusions: All types of treatment have a number of advantages and disadvantages, the details of which should be explained to elderly patients thoroughly. This calls for comprehensive counseling sessions during which the patient and health professional discuss all relevant considerations.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Chang, D.T., and N. Lawrentschuk. 2015. Orthotopic Neobladder Reconstruction. Urology Annals 7 (1): 1–7. doi:10.4103/0974-7796.148553.
Saika, T., R. Arata, T. Tsushima, Y. Nasu, B. Suyama, K. Takeda, S. Ebara, D. Manabe, T. Kobayashi, R. Tanimoto, H. Kumon, and Okayama Urological Research Group. 2007. Health-Related Quality of Life After Radical Cystectomy for Bladder Cancer in Elderly Patients with an Ileal Conduit, Ureterocutaneostomy, or Orthotopic Urinary Reservoir: A Comparative Questionnaire Survey. Acta Medica Okayama 61 (4): 199–203.
Ali, A.S., M.C. Hayes, B. Birch, T. Dudderidge, and B.K. Somani. 2015. Health Related Quality of Life (HRQoL) After Cystectomy: Comparison Between Orthotopic Neobladder and Ileal Conduit Diversion. European Journal of Surgical Oncology 41 (3): 295–299.
Sogni, F., M. Brausi, B. Frea, C. Martinengo, F. Faggiano, A. Tizzani, and P. Gontero. 2008. Morbidity and Quality of Life in Elderly Patients Receiving Ileal Conduit or Orthotopic Neobladder After Radical Cystectomy for Invasive Bladder Cancer. Urology 71 (5): 919–923.
Longo, N., C. Imbimbo, F. Fusco, V. Ficarra, F. Mangiapia, G. Di Lorenzo, M. Creta, V. Imperatore, and V. Mirone. 2016. Complications and Quality of Life in Elderly Patients with Several Comorbidities Undergoing Cutaneous Ureterostomy with Single Stoma or Ileal Conduit After Radical Cystectomy. BJU International 118 (4): 521–526. doi:10.1111/bju.13462. Epub 2016 Apr 4.
Siddiqui, K.M., and J.I. Izawa. 2016. Ileal Conduit: Standard Urinary Diversion for Elderly Patients Undergoing Radical Cystectomy. World Journal of Urology 34 (1): 19–24. doi:10.1007/s00345-015-1706-1. Epub 2015 Oct 16.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this paper
Cite this paper
Lavdaniti, M., Zyga, S. (2017). Quality of Life in Elderly Bladder Cancer Patients Following a Cystectomy. In: Vlamos, P. (eds) GeNeDis 2016 . Advances in Experimental Medicine and Biology, vol 989. Springer, Cham. https://doi.org/10.1007/978-3-319-57348-9_28
Download citation
DOI: https://doi.org/10.1007/978-3-319-57348-9_28
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-57347-2
Online ISBN: 978-3-319-57348-9
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)