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Defecation disturbances after cystectomy for urinary bladder cancer
Karolinska Institute.
Karolinska Institute.
Karolinska Institute.
Linköping University, Department of Clinical and Experimental Medicine, Urology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Surgery, Orthopaedics and Cancer Treatment, Department of Urology in Östergötland.
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2011 (English)In: BJU International, ISSN 1464-4096, E-ISSN 1464-410X, Vol. 108, no 2, 196-203 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE To describe and compare long-term defecation disturbances in patients who had undergone a cystectomy due to urinary bladder cancer with non-continent urostomies, continent reservoirs and orthotopic neobladder urinary diversions. PATIENTS AND METHODS During their follow-up we attempted to contact all men and women aged 30-80 years who had undergone cystectomy and urinary diversion at seven Swedish hospitals. During a qualitative phase we identified defecation disturbances as a distressful symptom and included this item in a study-specific questionnaire together with freehand comments. The patients completed the questionnaire at home. Outcome variables were dichotomized and the results are presented as relative risks with 95% confidence interval. RESULTS The questionnaire was returned from 452 (92%) of 491 identified patients. Up to 30% reported problems with the physiological emptying process of stool (bowel movement, sensory rectal function, awareness of need for defecation, motoric rectal and anal function, straining ability). A sense of decreased straining capacity was reported by 20% of the men and women with non-continent urostomy and 14% and 8% of those with continent reservoirs and orthotopic neobladders, respectively. CONCLUSIONS Of the cystectomized individuals 30% reported problems with the physiological emptying process of stool (bowel movement, sensory rectal function, awareness of need for defecation, motoric rectal and anal function, straining ability). Those wanting to improve the situation for bladder cancer survivors may consider communicating before surgery the possibility of stool-emptying problems, and asking about them after surgery.

Place, publisher, year, edition, pages
Blackwell Publishing Ltd , 2011. Vol. 108, no 2, 196-203 p.
Keyword [en]
cystectomy; urinary diversion; faecal straining capacity
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-69821DOI: 10.1111/j.1464-410X.2010.09815.xISI: 000292328800014OAI: oai:DiVA.org:liu-69821DiVA: diva2:433528
Available from: 2011-08-10 Created: 2011-08-08 Last updated: 2017-12-08

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Ahlstrand, Christer

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