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Published on: August 9, 2012

Quality of life: urinary bladder augmentation or substitution in children

Peter Vajda1, Zoltan Kispal, Imre Lenart

  • 1Surgical Unit, Department of Paediatrics, Medical School, University of Pecs, 7 Jozsef Attila Street, 7623, Pecs, Hungary. peter.vajda@aok.pte.hu

Pediatric Surgery International
|January 9, 2009
PubMed

Insights

Bladder augmentation and substitution significantly improved quality of life in pediatric patients with urinary incontinence. Most patients would opt for the procedure again, highlighting its positive impact.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Quality of Life Research

Background:

  • Urinary incontinence significantly impacts patients' quality of life.
  • Bladder augmentation and substitution are surgical options for severe urinary incontinence.
  • Previous assumptions suggest these procedures improve health-related quality of life.

Purpose of the Study:

  • To evaluate the evidence supporting improved health-related quality of life after bladder augmentation or substitution.
  • To assess patient satisfaction and quality of life outcomes in a pediatric population.

Main Methods:

  • A cross-sectional study involving 61 patients who underwent bladder augmentation (67) or substitution (7) between 1988-2006.
  • Patients had a >1-year postoperative period and were ≥10 years old at surgery.
  • A 38-question questionnaire assessed quality of life, comparing subgroups based on condition (meningomyelocele vs. bladder exstrophy) and catheterization method (stoma vs. urethra).

Main Results:

  • Significant overall improvement in health-related quality of life was observed post-surgery (P < 0.05).
  • 90% of patients preferred the surgical outcome to their previous condition.
  • Quality of life improved more in patients performing clean intermittent catheterization (CIC) via stoma compared to urethra (P < 0.05).

Conclusions:

  • Bladder augmentation or substitution significantly enhances health-related quality of life in children and young adolescents.
  • The study supports the efficacy of these procedures for improving patient well-being.
  • A prospective longitudinal study is planned to further validate these findings.
Abstract

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