Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principle
ABSTRACT Purpose: Continent urinary diversion (CUD) with the Mitrofanoff principle stands as an alternative to urethral catheterization by a route other than the urethra. The aim of the study was to determine self-perception of health-related quality of life (HRQoL), ease of catheterization and glo...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2020-07-01
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000500743&tlng=en |
| _version_ | 1818951130105774080 |
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| author | Julián Chavarriaga Nicolás Fernández María A. O. Campo John Bolivar German Patiño Jaime Perez |
| author_facet | Julián Chavarriaga Nicolás Fernández María A. O. Campo John Bolivar German Patiño Jaime Perez |
| author_sort | Julián Chavarriaga |
| collection | DOAJ |
| description | ABSTRACT Purpose: Continent urinary diversion (CUD) with the Mitrofanoff principle stands as an alternative to urethral catheterization by a route other than the urethra. The aim of the study was to determine self-perception of health-related quality of life (HRQoL), ease of catheterization and global and cosmetic outcomes in patient’s dependent on Mitrofanoff catheterization. Materials and methods: Records of all patients who underwent CUD with the Mitrofanoff principle between 2012 to 2018 were reviewed. Data were collected and analysed retrospectively from medical charts. We assessed HRQoL with the EuroQol EQ-5D-3L questionnaire, cosmetic and global satisfaction with a questionnaire designed by the reconstructive urology board and ease of catheterization with a Likert questionnaire adapted from the Intermittent Catheterization Difficulty Questionnaire (ICDQ) validated in patients reliant on retrograde CIC. Results: A total of 25 patients requiring CUD with the Mitrofanoff principle between 2012 and 2018 were assessed, the group was composed mainly of: appendiceal conduits 18 patients (72%) and 7 ileal conduits (Yang-Monti) and three of those requiring Casale (Monti Spiral) and 1 a double Monti technique. Median follow-up was 57 months, median age was 30 years. Visual Analogue Scale (VAS) of the EQ-5D-3L reported a Global health score of 86.5%. Fifty nine percent of the patients had no pain or bleeding with catheterizations. Regarding global satisfaction and cosmetic perception 91% were satisfied with their CUD. Conclusions: CUD is associated with good HRQoL, global satisfaction, ease and painless catheterization, adequate self-perception of cosmetic outcomes and a low complication rate, remaining a safe and viable option. |
| first_indexed | 2024-12-20T09:29:35Z |
| format | Article |
| id | doaj.art-4f2e3e2a8a0a4fe3a3007c0731507b4a |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-12-20T09:29:35Z |
| publishDate | 2020-07-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-4f2e3e2a8a0a4fe3a3007c0731507b4a2022-12-21T19:45:07ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192020-07-0146574375110.1590/s1677-5538.ibju.2019.0388Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principleJulián Chavarriagahttps://orcid.org/0000-0003-0158-504XNicolás FernándezMaría A. O. CampoJohn BolivarGerman PatiñoJaime PerezABSTRACT Purpose: Continent urinary diversion (CUD) with the Mitrofanoff principle stands as an alternative to urethral catheterization by a route other than the urethra. The aim of the study was to determine self-perception of health-related quality of life (HRQoL), ease of catheterization and global and cosmetic outcomes in patient’s dependent on Mitrofanoff catheterization. Materials and methods: Records of all patients who underwent CUD with the Mitrofanoff principle between 2012 to 2018 were reviewed. Data were collected and analysed retrospectively from medical charts. We assessed HRQoL with the EuroQol EQ-5D-3L questionnaire, cosmetic and global satisfaction with a questionnaire designed by the reconstructive urology board and ease of catheterization with a Likert questionnaire adapted from the Intermittent Catheterization Difficulty Questionnaire (ICDQ) validated in patients reliant on retrograde CIC. Results: A total of 25 patients requiring CUD with the Mitrofanoff principle between 2012 and 2018 were assessed, the group was composed mainly of: appendiceal conduits 18 patients (72%) and 7 ileal conduits (Yang-Monti) and three of those requiring Casale (Monti Spiral) and 1 a double Monti technique. Median follow-up was 57 months, median age was 30 years. Visual Analogue Scale (VAS) of the EQ-5D-3L reported a Global health score of 86.5%. Fifty nine percent of the patients had no pain or bleeding with catheterizations. Regarding global satisfaction and cosmetic perception 91% were satisfied with their CUD. Conclusions: CUD is associated with good HRQoL, global satisfaction, ease and painless catheterization, adequate self-perception of cosmetic outcomes and a low complication rate, remaining a safe and viable option.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000500743&tlng=enUrinary DiversionQuality of LifeUrinary Bladder, Neurogenic |
| spellingShingle | Julián Chavarriaga Nicolás Fernández María A. O. Campo John Bolivar German Patiño Jaime Perez Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principle International Brazilian Journal of Urology Urinary Diversion Quality of Life Urinary Bladder, Neurogenic |
| title | Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principle |
| title_full | Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principle |
| title_fullStr | Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principle |
| title_full_unstemmed | Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principle |
| title_short | Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principle |
| title_sort | self perception quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principle |
| topic | Urinary Diversion Quality of Life Urinary Bladder, Neurogenic |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000500743&tlng=en |
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