膀胱重建術後功能及生活品質比較-攝護腺保留膀胱切除與根除性膀胱攝護腺全切除
江博暉、陳柏諺
高雄長庚醫院泌尿科
Comparisons of Functional Outcomes and Quality of Life after Neobladder Reconstruction: Prostate-sparing Cystectomy versus Radical Cystoprostatectomy .
Chiang Po Hui, Chen Po Yen
Kaohsiung Chang Gung Medical Center, Department of Urology
Purpose:
To compare functional outcomes on erectile function, continence, voiding functions, and life quality among bladder patients underwent neobladder reconstruction after prostate-sparing cystectomy (PSC) and conventional radical cystoprostatectomy (CRC).
Materials and Methods:
We recorded I-PSS, IIEF, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30-item questionnaire (EORTC-QLQ-C30), catheterizations, and measure urinary flow and residual urine to evaluate the functional outcomes and in the baseline, post-operation 1 and 2 years among the patient with bladder cancer which received PRC and CRC.
Results:
During 2007 to 2013, we identified 23 males with bladder cancer who underwent neobladder reconstruction, 13 patients with PRC and the other 10 patients with CRC. We found that there were better sexuality preservation, continence rate and better global health status, functional scales, and symptom scales in the PRC group.
Conclusion:
For patients with bladder cancer underwent neobladder reconstruction, prostate-sparing cystectomy provides better sexuality preservation, continence rate, and quality of life.