Body Image Following Radical Cystectomy and Ileal Neobladder or Conduit in Korean Patients
Shim Bo-Sun, 김광현, 윤현석, 박영요, 이동현,
소속 상세정보
( Shim Bo-Sun )
Ewha Womans University School of Medicine Department of Urology
김광현 ( Kim Kwang-Hyun )
Ewha Womans University School of Medicine Department of Urology
윤현석 ( Yoon Hyun-suk )
Ewha Womans University School of Medicine Department of Urology
박영요 ( Park Young-Yo )
Ewha Womans University School of Medicine Department of Urology
이동현 ( Lee Dong-Hyeon )
Ewha Womans University School of Medicine Department of Urology
KMID : 0358320140550030161
Abstract
Purpose: The aim of this study was to compare the body images of patients who underwent radical cystectomy with an orthotopic ileal neobladder or an ileal conduit.
Materials and Methods: A total of 114 adult patients who underwent radical cystectomy between March 2006 and December 2012 at a single institution, Ewha Womans University Mokdong Hospital in Korea, were evaluated in this retrospective chart-review study. Forty-two patients (29 orthotopic ileal neobladder and 13 ileal conduit) who completed questionnaires were included in the final analysis; the remaining patients were excluded. The patients were assessed with two questionnaires: the Korean version of the Body Image Scale (K-BIS) and the self-designed questionnaire.
Results: The results did not differ significantly by age at surgery, time from surgery to survey, pathologic stage, grade, histologic subtype, education, residency, or Eastern Cooperative Oncology Group performance status, but did differ significantly by age at survey and sex. The mean summary score for K-BIS showed significant differences between the two groups (p=0.001). We found that patients who underwent an orthotopic ileal neobladder had a significantly better body image. The self-designed questionnaire score was not significantly different between the two groups (p=0.572).
Conclusions: In our retrospective analysis, patients who underwent orthotopic ileal neobladder had a superior body image compared with those who underwent an ileal conduit.
키워드
Body image; Cystectomy; Urinary bladder neoplasm; Urinary diversion
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