NDLI: La dérivation cutanée continente après cystectomie pour cancer, une alternative fiable ? Étude rétrospective monocentrique.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Vuichoud, C. Perrouin-Verbe, M-A Phe, V. Bitker, M-O Parra, J. Chartier-Kastler, E.
Description	Country affiliation: France Author Affiliation: Vuichoud C ( Service d'urologie, hôpital universitaire Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, Sorbonne universités Paris 6, AP-HP, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.); Perrouin-Verbe MA ( Service d'urologie, hôpital universitaire Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, Sorbonne universités Paris 6, AP-HP, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.); Phe V ( Service d'urologie, hôpital universitaire Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, Sorbonne universités Paris 6, AP-HP, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.); Bitker MO ( Service d'urologie, hôpital universitaire Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, Sorbonne universités Paris 6, AP-HP, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.); Parra J ( Service d'urologie, hôpital universitaire Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, Sorbonne universités Paris 6, AP-HP, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.); Chartier-Kastler E ( Service d'urologie, hôpital universitaire Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, Sorbonne universités Paris 6, AP-HP, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France. Electronic address: emmanuel.chartier-kastler@aphp.fr.)
Abstract	INTRODUCTION: Among available urinary diversion, continent cutaneous urinary diversion (CCUD) is not frequently used after cystectomy for malignancy. The aim of our work was to assess mid-term oncological and functional outcomes of CCUD in case of malignancies. PATIENTS AND METHODS: We retrospectively included all patients who underwent CCUD after radical cystectomy for cancer (according Mitrofanoff or Monti's principle) between July 2001 and November 2015 in our department. Perioperative data, oncological and functional outcomes were reported. To measure disease specific quality of life, we used the French version of Bladder Cancer Index. RESULTS: Overall 12 patients were involved in the study. With a median follow-up of 32 months, we noticed one death due to cancer recurrence. Early postoperative complications occurred in 8 patients, with one requiring reoperation. The late postoperative complication rate was 66%, whose 4 patients (33%) presented cutaneous stenosis. Overall satisfaction rate was scored 8.9/10 and body image was preserved for 75% of patients. At last follow-up, continence (no urinary leakage) was achieved for 62.5% of patient. Sexual impairment was significant for 5 patients. CONCLUSION: The CCUD is a valid alternative to other urinary diversions with similar oncological results and with a similar rate of complications. The high satisfaction rate was related to the preservation of body image and the high rate of continence. LEVEL OF EVIDENCE: 5.
File Format	HTM / HTML
ISSN	11667087
Issue Number	11-12
Journal	Progr`es en Urologie
Volume Number	26
Language	French
Publisher	Elsevier
Publisher Date	2016-09-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Discipline Urology
Alternative Title	Continent cutaneous urinary diversion after cystectomy for cancer: A reliable alternative? A monocentric retrospective study
Content Type	Text
Resource Type	Article
Subject	Urology

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