Long-Term Outcome and Quality of Life in Patients after Conversion of the Ileal Conduit to Abdominal Continent Ileal Reservoir

Jian-Wen Huang, Yue-Min Xu, Xin-Ru Zhang and Ying-Long Sa

Department of Urology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, China

^*Correspondance to: Yue-Min Xu 

 PDF  Full Text DOI: 10.25107/2474-1647.2062

Abstract

Purpose: To investigate the long-term outcome and Health-Related Quality of Life (HRQoL) inpatients after conversion of the ileal conduit to abdominal continent ileal reservoir.Methods: From June 2001 to November 2007, 10 patients with Bricker conduit underwent a procedure to convert their existing ileal conduit to abdominal continent ileal reservoir. The patients’ own opinions about their reservoir function and HRQoL (SF-36) were assessed during follow-up. In addition, urodynamic study of the efferent tubes and pouch was performed at three and 12 months post-op.Results: All patients successfully underwent the operation without perioperative complications and were followed for 102 to 180 months (mean 142 months). All patients expressed satisfaction with the reservoir function and preferred the abdominal continent reservoir compared to previous ileal conduit. Eight patients were continent day and night. All patients had stable renal function and metabolic balance. There was no significant difference in six of the eight scales of SF-36 between patients and general population in china (p>0.05). The urodynamic study showed that the maximum close pressure of the tapered ileum was significantly higher when the pouch was full than when it was empty at both three and 12 months (p<0.05).Conclusion: Our study indicated that patients with abdominal continent reservoir had a good long-term outcome and HRQoL. The abdominal continent reservoir is a therapeutic option when patients require conversion from an incontinent type of urinary diversion to continent type.

Keywords

Urinary diversion; Quality of life; Continent; Urinary reservoir; Ileal conduit

Cite the article

Huang J-W, Xu Y-M, Zhang X-R, Sa Y-L. Long-Term Outcome and Quality of Life in Patients after Conversion of the Ileal Conduit to Abdominal Continent Ileal Reservoir. Clin Surg. 2018; 3: 2062.