Guillotreau et al. Neurourol Urodyn. 2011 Jun 14. doi: 10.1002/nau.21121. [Epub ahead of print]
Bladder dysfunction in MS has a negative impact on QoL. Removal of the bladder (cystectomy) with the insertion of a piece of bowel, or ileal conduit, to divert the urine flow into a bag is a treatment option in PwMS who fail conservative treatment. This study evaluated the impact of ileal conduit urinary diversion on the QoL in people with neurogenic bladder dysfunction. Methods: QoL was assessed by self-administered questionnaire scores before and after surgery. Results: After surgery, subjects had a significant reduction in limitations and constraints. There was no significant change in SF36 scores, QoL measure, postoperatively. Conclusions: Ileal conduit urinary diversion improves the urinary QoL of patients with neurogenic bladder dysfunction by decreasing limitations and constraints induced by urinary disorders, but has no impact on general QoL.
"Another QoL study; I blogged this to say that QoL data is important when making the case to Commissioners about the need for these sorts of operations. Fortunately, urinary diversion procedures are seldom necessary these days, but when they are rarely done they have a big impact on the quality of someone's life. We need to remember this!"