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Quality of Life in Pediatric Patients with Continent Urinary Diversion-A Single Center Experience

Carmen Iulia Ciongradi1,2, Diana Benchia1,2, Cătălina Alexandra Stupu2,3

  • 12nd Department of Surgery-Pediatric Surgery and Orthopedics, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.

International Journal of Environmental Research and Public Health
|August 12, 2022
PubMed

Insights

Continent urinary diversion in pediatric patients improves physical function but can impact social well-being. Careful consideration of emotional and mental health is crucial for these urological condition treatments.

Area of Science:

  • Pediatric Urology
  • Surgical Outcomes
  • Quality of Life Assessment

Background:

  • Surgical advancements in urology improve functional outcomes but assessing patient perception and quality of life, especially in children, remains challenging.
  • Pediatric bladder conditions require effective management strategies that consider long-term patient well-being.

Purpose of the Study:

  • To critically analyze the outcomes of continent urinary diversion in pediatric patients with various bladder conditions.
  • To evaluate the impact of urinary diversion on the quality of life in pediatric patients.

Main Methods:

  • Cross-sectional study of pediatric patients treated for bladder evacuation problems between 2003 and 2014.
  • Analysis of data from patients who underwent continent urinary diversion.
  • Utilized Qualiveen-30 and SF-36 Health Survey questionnaires to assess quality of life.

Main Results:

  • Eight pediatric patients underwent continent urinary diversion, with a median age of 6.5 years.
  • Seven patients (aged 10-23 years) completed quality of life questionnaires.
  • All surveyed patients reported high physical functioning but low social functioning scores.

Conclusions:

  • Continent urinary diversion is a viable treatment option for carefully selected pediatric patients with bladder conditions.
  • Functional outcomes must be balanced with the emotional and mental health impact on pediatric patients undergoing urinary diversion.

Keywords:
MitrofanoffSF-36 health surveycontinent urinary diversionneurogenic bladderquality of lifequaliveen-30

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