Diarrhea and flatulence are major bowel disorders after radical cystectomy: Results from a cross-sectional study in bladder cancer patients.

摘要: Abstract Objectives We had previously demonstrated changes in defecation after radical cystectomy (RC). Reports addressing long-term bowel disorders following RC are rare. This cross-sectional study evaluates issues a large cohort. Material and methods A questionnaire assessing function (diarrhea, constipation, urge to defecate, sensation of incomplete defecation, flatulence) its effect on quality life was developed based the gastrointestinal index distributed collaboration with German bladder cancer support group. There were 431 evaluable questionnaires. For analyses, we focused patients that RC>1 year ago (n = 324). Results Current problems reported by 42.6% patients. The most frequent flatulence (48.8%), diarrhea (29.6%), (22.5%). In cases problems, 39.7% 59.8% indicated restriction dissatisfaction, respectively. Prevalence significantly higher>12 (vs. ≤12) months RC. Both symptoms correlated younger age at RC, restriction, lower life, health state, energy level. Additionally, pouches as urinary diversion ileal conduit or ureterocutaneostomy) higher dissatisfaction Conclusions To our knowledge this is largest cohort evaluating Diarrhea prominent symptom high impact daily leads dissatisfaction. better understanding could be translated into optimized surgical procedures, postoperative medication/nutrition, patient education.