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

Carmen Iulia Ciongradi, Diana Benchia, Cătălina Alexandra Stupu, Codruța Olimpiada Iliescu Halițchi () and Ioan Sârbu ()
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Carmen Iulia Ciongradi: 2nd Department of Surgery—Pediatric Surgery and Orthopedics, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iași, Romania
Diana Benchia: 2nd Department of Surgery—Pediatric Surgery and Orthopedics, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iași, Romania
Cătălina Alexandra Stupu: “Sfânta Maria” Emergency Children Hospital, 700309 Iași, Romania
Codruța Olimpiada Iliescu Halițchi: Department of Mother and Child Medicine-Pediatrics, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iași, Romania
Ioan Sârbu: 2nd Department of Surgery—Pediatric Surgery and Orthopedics, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iași, Romania

IJERPH, 2022, vol. 19, issue 15, 1-9

Abstract: Background and Objectives : The advancement of surgical strategies in various types of urological conditions has resulted in improved functional outcomes, but the issues of patient perception and life quality remain difficult to assess, particularly in pediatric populations. We aimed to critically analyze the outcomes of urinary continent diversion in pediatric patients treated in our institution for various bladder conditions. Materials and Methods : We conducted a cross-sectional study, reviewing the records of patients treated for bladder evacuation problems between 2003 and 2014, and analyzing the data of those with continent urinary diversion. We used two types of questionnaires to assess the impact on life quality: the Qualiveen-30 and the SF-36 Health Survey. Results : The study included one hundred thirty-four patients with bladder conditions, and eight underwent urinary diversion, at a median age of 6.5 years. Seven of them, aged 10–23 years, completed questionnaires, with all seven scoring high on physical functioning scale but low on the social functioning scale. Conclusions : Continent urinary diversion remains the treatment of choice in well selected patients, but the results must be considered both in terms of functional outcomes and the impact on these patients’ emotional and mental health.

Keywords: continent urinary diversion; Mitrofanoff; qualiveen-30; SF-36 health survey; neurogenic bladder; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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