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408 CONTINENT CUTANEOUS URINARY RESERVOIR USING THE SEROUS LINED EXTRAMURAL VALVE: FUNCTIONAL OUTCOME
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408
CONTINENT CUTANEOUS URINARY RESERVOIR USING THE SEROUS LINED EXTRAMURAL VALVE: FUNCTIONAL OUTCOME
(OVKDO$0$EROHQHLQ+.DPDO00RVEDK$2$EGHOODWLI0*KRQHLP0$ Mansoura Urology and Nephrology Centre, Dept. of Urology, Mansoura, Egypt Introduction & Objectives: )XQFWLRQDO HYDOXDWLRQ RI FRQWLQHQW UHVHUYRLU XVLQJ VHURXVOLQHGH[WUDPXUDOYDOYHDVDFRQWLQHQWXULQDU\RXWOHW Material & Methods: :H UHYLHZHG WKH UHSRUWV RI DOO SDWLHQWV ZKR XQGHUZHQW FRQWLQHQW FDWKHWHUL]DEOH VWRPDV XVLQJ VHURXV OLQHG H[WUDPXUDO WHFKQLTXH DW RXU FHQWUHEHWZHHQ0D\ DQG0DUFK7KH3DWLHQWVಬUHFRUGVZHUHUHYLHZHG IRUDJHVH[LQGLFDWLRQRIVXUJHU\VXUJLFDOGHWDLOVDQGSRVWRSHUDWLYHFRXUVH$OO SDWLHQWVZHUHHYDOXDWHGIRUFRQWLQHQFHZLWKHPSKDVLVRQIUHTXHQF\RI&,&XSSHU WUDFW VWDWXV PHWDEROLF FKDQJHV FRPSOLFDWLRQV DQG QHHG IRU UHRSHUWDWLRQ 7KH\ DOVRUHSOLHG+RPHPDGHTXDOLW\RIOLIHTXHVWLRQQDLUH8URG\QDPLFHYDOXDWLRQZDV GRQHIRUDOOSDWLHQWVZLWKOHDNLQJVWRPD Results: %HWZHHQ0D\ DQG0DUFKDWRWDORISDWLHQWVXQGHUZHQW FRQWLQHQW FDWKHWHUL]DEOH VWRPDV XVLQJ VHURXV OLQHG H[WUDPXUDO WHFKQLTXH 7KH WHFKQLTXH HQWDLOHG FRQVWUXFWLRQ RI D GHWXEXODUL]HG :VKDSHG LOHDO UHVHUYRLU ZLWK VHURXV OLQHG WURXJKV RQH IRU UHᚐ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onclusions: 6HURXV OLQHG XQLGLUHFWLRQDO YDOYH LV UHOLDEOH GXUDEOH DQG HᚑFLHQW FRQWLQHQFHPHFKDQLVPZLWKDFFHSWDEOHFRPSOLFDWLRQUDWHDQGLVDVVRFLDWHGZLWK JRRGIXQFWLRQDOUHVXOWVDQGVLJQLᚏFDQWSRVLWLYHLPSDFWRQSDWLHQWVCOLIHTXDOLW\
409
Y-NEOBLADDER: AN ITALIAN MULTI-INSTITUTIONAL RETROSPECTIVE STUDY
'HVWHIDQLV3%RVLR$&DUFKHGL01HJUR&)DVROLV*%HOOLQD0 0DUL0)UHD%7HUURQH&0RUJLD*&DUULHUL*0DᚎH]]LQL0 )RQWDQD' 1 Ospedale San Giovanni Battista Molinette, Dept. of Urology 2, Turin, Italy, 2 Ospedale San Lazzaro, Dept. of Urology, Alba, Italy, 3Ospedale Di Rivoli, Dept. of Urology, Rivoli, Italy, 4Ospedale Santa Maria Della Misericordia, Dept. of Urology, Udine, Italy, 5Ospedale Maggiore Della Carità, Dept. of Urology, Novara, Italy, 6Ospedale Policlinico G. Martino, Dept. of Urology, Messina, Italy, 7Ospedali Riuniti, Dept. of Urology, Foggia, Italy, 8Ospedale Galliera, Dept. of Urology, Genova, Italy Introduction & Objectives: 'XULQJWKHSDVW\HDUVJUHDWHUDWWHQWLRQWRWKHTXDOLW\ RI OLIH KDV SURPSWHG ZLGHU XVH RI RUWKRWRSLF QHREODGGHUV LQ SDWLHQWV XQGHUJRLQJ UDGLFDOF\VWHFWRP\IRUEODGGHUFDUFLQRPD1HYHUWKHOHVVGHVSLWHLPSURYHGVXUJLFDO WHFKQLTXHVVRPHSUREOHPVFRQFHUQLQJRUWKRWRSLFQHREODGGHUVKDYHQRW\HWEHHQ VROYHGLQSDUWLFXODUVWULFWXUHVRIWKHXUHWHUDOHQWHUDODQDVWRPRVLV,QWKHODVW ಬV ZHSURSRVHGDQHZNLQGRILOHDORUWKRWRSLFUHVHUYRLU WKH<QHREODGGHUSURYHGWR EHHDV\DQGIDVWWRFUHDWHWRSURYLGHJRRGIXQFWLRQDOUHVXOWVDQGWRKDYHDYHU\ ORZLQFLGHQFHRIVWULFWXUHVRIXUHWHUDOQHREODGGHUDQDVWRPRVLV,QRUGHUWRFRQᚏUP WKRVHᚏUVWUHVXOWVZHFRQGXFWHGDUHWURVSHFWLYHPXOWLLQVWLWXWLRQDOVWXG\ Material & Methods: (LJKWGLᚎHUHQW8URORJLF'HSDUWPHQWVSURYLGHGWKHGDWDRIDOO WKHLUSDWLHQWVಬXQGHUJRQHUDGLFDOF\VWHFWRP\IROORZHGE\EODGGHUVXEVWLWXWLRQZLWK <QHREODGGHU 7KH PDLQ VWHSV RI VXUJLFDO WHFKQLTXH ZHUH SUHYLRXVO\ SXEOLVKHG 7KH IROORZLQJ SDUDPHWHUV ZHUH UHWURVSHFWLYHO\ UHYLHZHG LQGLFDWLRQ IRU UDGLFDO F\VWHFWRP\VXUJHU\QRWHVHDUO\DQGODWHFRPSOLFDWLRQVGDWDDERXWPLFWXULWLRQV FRQWLQHQFHDQGVHOIFDWKHWHULVPDQGRQFRORJLFIROORZXS&RQWLQHQFHZDVGHᚏQHG JRRG LI QR XVH RI SDGV ZDV UHFRUGHG VDWLVIDFWRU\ IRU SDG XQVDWLVIDFWRU\ ! SDGV6WDWLVWLFDODQDO\VLVZDVSHUIRUPHGWKURXJKD3&VRIWZDUH Results: &RPSOHWHGDWDZHUHDYDLODEOHIRUSDWLHQWVXQGHUJRQHWKHSURFHGXUH EHWZHHQ-DQXDU\DQG-XQH 7KHPHDQDJHZDV\HDUV2QH KXQGUHGDQGVL[W\VL[SDWLHQWVZHUHPDOHZKLOHZHUHIHPDOH7KHPHDQIROORZ XSZDVPRQWKV UDQJH 7KHLQGLFDWLRQWRUDGLFDOF\VWHFWRP\ZDVJLYHQ
Eur Urol Suppl 2010;9(2):150
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410
ILEAL-CONDUIT - VS COLONIC-CONDUIT – A MATCHEDPAIR ANALYSIS
6WHLQ56FKU¸GHU$+DJHQ77K¾URᚎ-: University Medical Center of the Johannes Gutenberg University Mainz, Dept. of Urology, Mainz, Germany Introduction & Objectives: ,OHDO DQG FRORQLF FRQGXLWV KDYH EHHQ XVHG IRU LQFRQWLQHQWXULQDU\GLYHUVLRQDWRXULQVWLWXWLRQIRUPRUHWKDQ\HDUV,QHDUOLHU\HDUV FRORQLF VHJPHQWV ZHUH SUHIHUUHG ZKLOH QRZDGD\V WKH LOHDO FRQGXLW LV SUHIHUDEO\ XVHG LQDGXOWV ,QDUHWURVSHFWLYHVWXG\ZHDQDO\]HGRXUORQJWHUPRXWFRPHDQG FRPSDUHGWKHORQJWHUPUHVXOWVRIWKHWZRW\SHVRIFRQGXLWGLYHUVLRQ Material & Methods: %HWZHHQ DQGSDWLHQWVZLWKLQYDVLYHEODGGHU FDQFHUUHFHLYHGDQLQFRQWLQHQWXULQDU\GLYHUVLRQSDWLHQWVZLWKDVLJPRLGFRQGXLW DQGZLWKDQLOHDOFRQGXLWFRXOGEHIROORZHGIRUPRUHWKDQ\HDUV PHGLDQ PRQWKVIRUVLJPRLGFRQGXLWDQGPRQWKVIRULOHDOFRQGXLW ,QDPDWFKHGSDLUV DQDO\VLVZHFRPSDUHGSDWLHQWVZLWKWKHVDPHDJHDWRSHUDWLRQVDPHJHQGHUDQG VDPHIROORZXSSHULRG Results: PDWFKHGSDLUV IHPDOHDQGPDOHVSHUJURXS IXOᚏOOHGWKHFULWHULD 7KHPHDQDJHDWVXUJHU\ZDV\HDUV ದ\UV LQSDWLHQWVZLWKLOHDOFRQGXLW DQG\HDUV ದ \UV LQSDWLHQWVZLWKVLJPRLGFRQGXLW&RPSOLFDWLRQV XSSHU WUDFWVWRQHV LOHXP VLJPRLG XUHWHUVWHQRVLV LOHXP VLJPRLG XULQDU\ WUDFW LQIHFWLRQ LOHXP VLJPRLG LQFLVLRQDO KHUQLD LOHXP VLJPRLG ERZHO REVWUXFWLRQ LOHXP VLJPRLG VWRPDO FRPSOLFDWLRQ LOHXP VLJPRLG SDUDVWRPDOKHUQLD LOHXP VLJPRLG SDWLHQWVZLWKLOHDOFRQGXLWDQG SDWLHQWVZLWKFRORQLFFRQGXLWKDGODWHFRPSOLFDWLRQVUHTXLULQJUHRSHUDWLRQLQ ZLWKDQLOHDOFRQGXLWDQGZLWKDFRORQLFFRQGXLW Conclusions: :H REVHUYHG DFFHSWDEOH FRPSOLFDWLRQ UDWHV ZLWK QR VWDWLVWLFDOO\ VLJQLᚏFDQW GLᚎHUHQFHV EHWZHHQ VLJPRLG DQG LOHDO FRQGXLW GLYHUVLRQ +RZHYHU SDUDVWRPDO KHUQLDV ZHUH PRUH VHHQ LQ LOHDO FRQGXLWV DV FRPSDUHG WR FRORQLF FRQGXLWV7KHUHRSHUDWLRQUDWHUHYHDOHGDWUHQGWRZDUGVDGLVDGYDQWDJHRILOHDO FRQGXLWV YV $ SURVSHFWLYH UDQGRPL]HG VWXG\ LV UHTXLUHG WR FODULI\ GLᚎHUHQFHVEHWZHHQERWKW\SHVRIFRQGXLWXULQDU\GLYHUVLRQ
411
QUALITY OF LIFE AFTER A MITROFANOFF CONTINENT URINARY DIVERSION
+DGM6OLPHQ0.HWDWD+&KDEFKRXE.)RXUDWL0)DNKIDNK65HEDL1 )DNKIDNK+%DKORXO$0KLUL01 Habib Bourguiba Hospital, Dept. of Urology, Sfax, Tunisia Introduction & Objectives: 7R HYDOXDWH WKH SV\FKRORJLFDO UHSHUFXVVLRQV DQG WKHGHJUHHRIDGDSWDWLRQRISDWLHQWVZLWKD0LWURIDQRᚎFRQWLQHQWH[WHUQDOXULQDU\ GLYHUVLRQLQWKHLUGDLO\OLYLQJFRQGLWLRQV Material & Methods: %HWZHHQ DQG SDWLHQWVXQGHUZHQWFRQWLQHQW XULQDU\GLYHUVLRQXVLQJ0LWURIDQRᚎSURFHGXUHLQRXULQVWLWXWLRQ SDWLHQWV ZHUHTXHVWLRQHGDERXWWKHLUGLYHUVLRQUHJDUGLQJWRWKHLUOLYLQJFRQGLWLRQV:HXVHG DVHOIDGPLQLVWHUHGTXHVWLRQQDLUHRI LWHPVWUDQVODWHGLQWKHLUVSRNHQODQJXDJH 7KHPHDQDJHZDV \HDUV UDQJH WR\HDUV 7KHLQGLFDWLRQIRUWKHGLYHUVLRQ ZDVPDLQO\DQHXURORJLFDOGLVHDVH Results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onclusions: 7KH0LWURIDQRᚎ XULQDU\GLYHUVLRQ DOORZVEHWWHUIDPLOLDO VRFLDO DQG SURIHVVLRQDODSSURYDOE\SDWLHQWVWKDQRWKHUQRQFRQWLQHQWGLYHUVLRQSURFHGXUHV LWDOORZVJRRGUHKDELOLWDWLRQSURYLGHGWKHSDWLHQWVHVSHFLDOO\FKLOGUHQDGKHUHWR WKHLUQHZGLYHUVLRQPDQDJHPHQWVFKHPH
408
CONTINENT CUTANEOUS URINARY RESERVOIR USING THE SEROUS LINED EXTRAMURAL VALVE: FUNCTIONAL OUTCOME
(OVKDO$0$EROHQHLQ+.DPDO00RVEDK$2$EGHOODWLI0*KRQHLP0$ Mansoura Urology and Nephrology Centre, Dept. of Urology, Mansoura, Egypt Introduction & Objectives: )XQFWLRQDO HYDOXDWLRQ RI FRQWLQHQW UHVHUYRLU XVLQJ VHURXVOLQHGH[WUDPXUDOYDOYHDVDFRQWLQHQWXULQDU\RXWOHW Material & Methods: :H UHYLHZHG WKH UHSRUWV RI DOO SDWLHQWV ZKR XQGHUZHQW FRQWLQHQW FDWKHWHUL]DEOH VWRPDV XVLQJ VHURXV OLQHG H[WUDPXUDO WHFKQLTXH DW RXU FHQWUHEHWZHHQ0D\ DQG0DUFK7KH3DWLHQWVಬUHFRUGVZHUHUHYLHZHG IRUDJHVH[LQGLFDWLRQRIVXUJHU\VXUJLFDOGHWDLOVDQGSRVWRSHUDWLYHFRXUVH$OO SDWLHQWVZHUHHYDOXDWHGIRUFRQWLQHQFHZLWKHPSKDVLVRQIUHTXHQF\RI&,&XSSHU WUDFW VWDWXV PHWDEROLF FKDQJHV FRPSOLFDWLRQV DQG QHHG IRU UHRSHUWDWLRQ 7KH\ DOVRUHSOLHG+RPHPDGHTXDOLW\RIOLIHTXHVWLRQQDLUH8URG\QDPLFHYDOXDWLRQZDV GRQHIRUDOOSDWLHQWVZLWKOHDNLQJVWRPD Results: %HWZHHQ0D\ DQG0DUFKDWRWDORISDWLHQWVXQGHUZHQW FRQWLQHQW FDWKHWHUL]DEOH VWRPDV XVLQJ VHURXV OLQHG H[WUDPXUDO WHFKQLTXH 7KH WHFKQLTXH HQWDLOHG FRQVWUXFWLRQ RI D GHWXEXODUL]HG :VKDSHG LOHDO UHVHUYRLU ZLWK VHURXV OLQHG WURXJKV RQH IRU UHᚐ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onclusions: 6HURXV OLQHG XQLGLUHFWLRQDO YDOYH LV UHOLDEOH GXUDEOH DQG HᚑFLHQW FRQWLQHQFHPHFKDQLVPZLWKDFFHSWDEOHFRPSOLFDWLRQUDWHDQGLVDVVRFLDWHGZLWK JRRGIXQFWLRQDOUHVXOWVDQGVLJQLᚏFDQWSRVLWLYHLPSDFWRQSDWLHQWVCOLIHTXDOLW\
409
Y-NEOBLADDER: AN ITALIAN MULTI-INSTITUTIONAL RETROSPECTIVE STUDY
'HVWHIDQLV3%RVLR$&DUFKHGL01HJUR&)DVROLV*%HOOLQD0 0DUL0)UHD%7HUURQH&0RUJLD*&DUULHUL*0DᚎH]]LQL0 )RQWDQD' 1 Ospedale San Giovanni Battista Molinette, Dept. of Urology 2, Turin, Italy, 2 Ospedale San Lazzaro, Dept. of Urology, Alba, Italy, 3Ospedale Di Rivoli, Dept. of Urology, Rivoli, Italy, 4Ospedale Santa Maria Della Misericordia, Dept. of Urology, Udine, Italy, 5Ospedale Maggiore Della Carità, Dept. of Urology, Novara, Italy, 6Ospedale Policlinico G. Martino, Dept. of Urology, Messina, Italy, 7Ospedali Riuniti, Dept. of Urology, Foggia, Italy, 8Ospedale Galliera, Dept. of Urology, Genova, Italy Introduction & Objectives: 'XULQJWKHSDVW\HDUVJUHDWHUDWWHQWLRQWRWKHTXDOLW\ RI OLIH KDV SURPSWHG ZLGHU XVH RI RUWKRWRSLF QHREODGGHUV LQ SDWLHQWV XQGHUJRLQJ UDGLFDOF\VWHFWRP\IRUEODGGHUFDUFLQRPD1HYHUWKHOHVVGHVSLWHLPSURYHGVXUJLFDO WHFKQLTXHVVRPHSUREOHPVFRQFHUQLQJRUWKRWRSLFQHREODGGHUVKDYHQRW\HWEHHQ VROYHGLQSDUWLFXODUVWULFWXUHVRIWKHXUHWHUDOHQWHUDODQDVWRPRVLV,QWKHODVW ಬV ZHSURSRVHGDQHZNLQGRILOHDORUWKRWRSLFUHVHUYRLU WKH<QHREODGGHUSURYHGWR EHHDV\DQGIDVWWRFUHDWHWRSURYLGHJRRGIXQFWLRQDOUHVXOWVDQGWRKDYHDYHU\ ORZLQFLGHQFHRIVWULFWXUHVRIXUHWHUDOQHREODGGHUDQDVWRPRVLV,QRUGHUWRFRQᚏUP WKRVHᚏUVWUHVXOWVZHFRQGXFWHGDUHWURVSHFWLYHPXOWLLQVWLWXWLRQDOVWXG\ Material & Methods: (LJKWGLᚎHUHQW8URORJLF'HSDUWPHQWVSURYLGHGWKHGDWDRIDOO WKHLUSDWLHQWVಬXQGHUJRQHUDGLFDOF\VWHFWRP\IROORZHGE\EODGGHUVXEVWLWXWLRQZLWK <QHREODGGHU 7KH PDLQ VWHSV RI VXUJLFDO WHFKQLTXH ZHUH SUHYLRXVO\ SXEOLVKHG 7KH IROORZLQJ SDUDPHWHUV ZHUH UHWURVSHFWLYHO\ UHYLHZHG LQGLFDWLRQ IRU UDGLFDO F\VWHFWRP\VXUJHU\QRWHVHDUO\DQGODWHFRPSOLFDWLRQVGDWDDERXWPLFWXULWLRQV FRQWLQHQFHDQGVHOIFDWKHWHULVPDQGRQFRORJLFIROORZXS&RQWLQHQFHZDVGHᚏQHG JRRG LI QR XVH RI SDGV ZDV UHFRUGHG VDWLVIDFWRU\ IRU SDG XQVDWLVIDFWRU\ ! SDGV6WDWLVWLFDODQDO\VLVZDVSHUIRUPHGWKURXJKD3&VRIWZDUH Results: &RPSOHWHGDWDZHUHDYDLODEOHIRUSDWLHQWVXQGHUJRQHWKHSURFHGXUH EHWZHHQ-DQXDU\DQG-XQH 7KHPHDQDJHZDV\HDUV2QH KXQGUHGDQGVL[W\VL[SDWLHQWVZHUHPDOHZKLOHZHUHIHPDOH7KHPHDQIROORZ XSZDVPRQWKV UDQJH 7KHLQGLFDWLRQWRUDGLFDOF\VWHFWRP\ZDVJLYHQ
Eur Urol Suppl 2010;9(2):150
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410
ILEAL-CONDUIT - VS COLONIC-CONDUIT – A MATCHEDPAIR ANALYSIS
6WHLQ56FKU¸GHU$+DJHQ77K¾URᚎ-: University Medical Center of the Johannes Gutenberg University Mainz, Dept. of Urology, Mainz, Germany Introduction & Objectives: ,OHDO DQG FRORQLF FRQGXLWV KDYH EHHQ XVHG IRU LQFRQWLQHQWXULQDU\GLYHUVLRQDWRXULQVWLWXWLRQIRUPRUHWKDQ\HDUV,QHDUOLHU\HDUV FRORQLF VHJPHQWV ZHUH SUHIHUUHG ZKLOH QRZDGD\V WKH LOHDO FRQGXLW LV SUHIHUDEO\ XVHG LQDGXOWV ,QDUHWURVSHFWLYHVWXG\ZHDQDO\]HGRXUORQJWHUPRXWFRPHDQG FRPSDUHGWKHORQJWHUPUHVXOWVRIWKHWZRW\SHVRIFRQGXLWGLYHUVLRQ Material & Methods: %HWZHHQ DQGSDWLHQWVZLWKLQYDVLYHEODGGHU FDQFHUUHFHLYHGDQLQFRQWLQHQWXULQDU\GLYHUVLRQSDWLHQWVZLWKDVLJPRLGFRQGXLW DQGZLWKDQLOHDOFRQGXLWFRXOGEHIROORZHGIRUPRUHWKDQ\HDUV PHGLDQ PRQWKVIRUVLJPRLGFRQGXLWDQGPRQWKVIRULOHDOFRQGXLW ,QDPDWFKHGSDLUV DQDO\VLVZHFRPSDUHGSDWLHQWVZLWKWKHVDPHDJHDWRSHUDWLRQVDPHJHQGHUDQG VDPHIROORZXSSHULRG Results: PDWFKHGSDLUV IHPDOHDQGPDOHVSHUJURXS IXOᚏOOHGWKHFULWHULD 7KHPHDQDJHDWVXUJHU\ZDV\HDUV ದ\UV LQSDWLHQWVZLWKLOHDOFRQGXLW DQG\HDUV ದ \UV LQSDWLHQWVZLWKVLJPRLGFRQGXLW&RPSOLFDWLRQV XSSHU WUDFWVWRQHV LOHXP VLJPRLG XUHWHUVWHQRVLV LOHXP VLJPRLG XULQDU\ WUDFW LQIHFWLRQ LOHXP VLJPRLG LQFLVLRQDO KHUQLD LOHXP VLJPRLG ERZHO REVWUXFWLRQ LOHXP VLJPRLG VWRPDO FRPSOLFDWLRQ LOHXP VLJPRLG SDUDVWRPDOKHUQLD LOHXP VLJPRLG SDWLHQWVZLWKLOHDOFRQGXLWDQG SDWLHQWVZLWKFRORQLFFRQGXLWKDGODWHFRPSOLFDWLRQVUHTXLULQJUHRSHUDWLRQLQ ZLWKDQLOHDOFRQGXLWDQGZLWKDFRORQLFFRQGXLW Conclusions: :H REVHUYHG DFFHSWDEOH FRPSOLFDWLRQ UDWHV ZLWK QR VWDWLVWLFDOO\ VLJQLᚏFDQW GLᚎHUHQFHV EHWZHHQ VLJPRLG DQG LOHDO FRQGXLW GLYHUVLRQ +RZHYHU SDUDVWRPDO KHUQLDV ZHUH PRUH VHHQ LQ LOHDO FRQGXLWV DV FRPSDUHG WR FRORQLF FRQGXLWV7KHUHRSHUDWLRQUDWHUHYHDOHGDWUHQGWRZDUGVDGLVDGYDQWDJHRILOHDO FRQGXLWV YV $ SURVSHFWLYH UDQGRPL]HG VWXG\ LV UHTXLUHG WR FODULI\ GLᚎHUHQFHVEHWZHHQERWKW\SHVRIFRQGXLWXULQDU\GLYHUVLRQ
411
QUALITY OF LIFE AFTER A MITROFANOFF CONTINENT URINARY DIVERSION
+DGM6OLPHQ0.HWDWD+&KDEFKRXE.)RXUDWL0)DNKIDNK65HEDL1 )DNKIDNK+%DKORXO$0KLUL01 Habib Bourguiba Hospital, Dept. of Urology, Sfax, Tunisia Introduction & Objectives: 7R HYDOXDWH WKH SV\FKRORJLFDO UHSHUFXVVLRQV DQG WKHGHJUHHRIDGDSWDWLRQRISDWLHQWVZLWKD0LWURIDQRᚎFRQWLQHQWH[WHUQDOXULQDU\ GLYHUVLRQLQWKHLUGDLO\OLYLQJFRQGLWLRQV Material & Methods: %HWZHHQ DQG SDWLHQWVXQGHUZHQWFRQWLQHQW XULQDU\GLYHUVLRQXVLQJ0LWURIDQRᚎSURFHGXUHLQRXULQVWLWXWLRQ SDWLHQWV ZHUHTXHVWLRQHGDERXWWKHLUGLYHUVLRQUHJDUGLQJWRWKHLUOLYLQJFRQGLWLRQV:HXVHG DVHOIDGPLQLVWHUHGTXHVWLRQQDLUHRI LWHPVWUDQVODWHGLQWKHLUVSRNHQODQJXDJH 7KHPHDQDJHZDV \HDUV UDQJH WR\HDUV 7KHLQGLFDWLRQIRUWKHGLYHUVLRQ ZDVPDLQO\DQHXURORJLFDOGLVHDVH Results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onclusions: 7KH0LWURIDQRᚎ XULQDU\GLYHUVLRQ DOORZVEHWWHUIDPLOLDO VRFLDO DQG SURIHVVLRQDODSSURYDOE\SDWLHQWVWKDQRWKHUQRQFRQWLQHQWGLYHUVLRQSURFHGXUHV LWDOORZVJRRGUHKDELOLWDWLRQSURYLGHGWKHSDWLHQWVHVSHFLDOO\FKLOGUHQDGKHUHWR WKHLUQHZGLYHUVLRQPDQDJHPHQWVFKHPH