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Urinary diversion for incontinence--a beneficial procedure?
Annals of the Royal College of Surgeons of England
|November 1, 1985
Summary
Urinary diversion surgery significantly improves quality of life for women with disabling incontinence. Most patients achieved a full social life post-operation, with few regrets despite potential complications like pyocystis.
Area of Science:
- Urology
- Surgical Innovation
- Quality of Life Studies
Background:
- Disabling urinary incontinence significantly impacts patients' quality of life, often leading to social isolation.
- Previous surgical interventions for urethral sphincter incompetence had failed in a subset of patients.
Purpose of the Study:
- To evaluate the impact of urinary diversion on the quality of life for women with severe, disabling incontinence.
- To assess patient satisfaction and identify common complications following urinary diversion.
Main Methods:
- A retrospective review of 13 women who underwent urinary diversion for disabling incontinence over 8 years.
- Postoperative quality of life assessment through interviews with 12 patients.
Main Results:
- Preoperatively, 75% of patients were housebound or had limited social engagement.
- Postoperatively, 67% of patients reported a full social life, with all experiencing improvement.
- Most patients managed their stomas effectively, and none regretted the procedure.
Conclusions:
- Urinary diversion can substantially enhance the quality of life for women suffering from disabling incontinence.
- The high incidence of pyocystis suggests routine vaginal vesicostomy during diversion may be beneficial, particularly for those with chronic urinary infections.