QUALITY OF LIFE OF PATIENTS AFTER RADICAL CYSTECTOMY WITH CONDUIT AND ORTHOTOPIC URINE DERIVATION

The study presents a comparative assessment of the quality of life of 29 patients after radical cystectomy with conduitis and 32 patients with orthotopic urine derivation, interviewed on special questionnaires based on the Michigan questionnaire «Bladder Cancer Index» (Bladder Cancer Index - BCI; The University of Michigan). Subjective assessment of somatic status (the degree of discomfort experienced by patients due to urinary disorders, developing azotemia, mucus in the urine, digestive dysfunction and sexual disorders) did not reveal significant differences between the comparison groups. Moreover, in objectively more difficult situation of patients with ileoconduitis (taking into account the severity of their disease, age and concomitant diseases), their subjective assessment of their condition and quality of life can be comparable with the level of subjective assessment of more «young» patients with orthotopic urine derivation. At the same time, a more negative assessment of the quality of life (according to subjective assessments of general health and problems with social adaptation), noted in patients with orthotopic derivation, may be due to their agepsychological characteristics of the perception of their situation: «younger» patients in this group at comparable levels of somatic ill health evaluate the overall quality of their life as more catastrophic and severe. More negative subjective assessments of their wellbeing and quality of life of patients in this group pose the problem of insufficient psychological preparation of patients for living conditions «after the RC» and their subsequent psychological support in the system of long-term postoperative follow-up.

радикальная цистэктомия, качество жизни больных, илеоцистопластика, ортотопическая деривация мочи, radical cystectomy, quality of life of patients, ileocystoplasty, orthotopic urine derivation