Comparative study of various forms of urinary diversion after radical cystectomy in muscle invasive XXXX .

@entity1 @entity150 @entity4628
OBJECTIVE: To compare the three types of urinary diversion namely Ileal Conduit, MAINZ Pouch II and Ileal Neobladder in terms of @entity1 preference, post-operative hospital stay, early and late complications, continence rates, quality of life and @entity1 satisfaction. METHOD: From January 2003 to October 2007, 30 @entity1 (28 males and 2 females) of muscle invasive @entity150 (mean age 57.7 years) were operated upon by radical cysto- prostatectomy or anterior pelvic exenteration and urinary diversion was performed by Ileal conduit, Mainz pouch II or @entity4628 . The @entity1 preference for the type of diversion was determined pre-operatively after discussing all the three types of urinary diversions. Post-operative hospital stay, early and late complications, continence rates, quality of life and @entity1 satisfaction with the type of diversion were evaluated on follow up. RESULTS: 60% of the @entity1 's preferred @entity4628 , 10% preferred Ileal conduit and 10% preferred Mainz pouch II as their 1st choice diversion; 20% left the decision to the operating surgeon. The mean post-operative hospital stay was 15.0 days in Ileal conduit group, 17.8 days in Mainz pouch II group and 19.7 days in @entity4628 group. The mean follow up was 27.7 months. Early complications (within 1 month of surgery) were observed in 46.2% of @entity1 in Ileal conduit group, 38.5% in Mainz pouch II group and 50.0% in @entity4628 group. Late complications (after 1 month of surgery) were seen in 61.5% of @entity1 in Ileal conduit group, 46.2% in Mainz pouch II group and 50.0% in @entity4628 group. In Mainz pouch II group 92.3% of the @entity1 achieved daytime continence and 84.6% achieved night time continence 3 to 6 months after surgery. In @entity4628 group, 75.0% @entity1 achieved day time continence and 50.0% achieved night time continence 3 to 6 months after surgery. @entity1 satisfaction and overall quality of life was described 'Good' by majority of @entity1 in Ileal conduit group and 'Very Good' by majority of @entity1 in Mainz pouch II group and @entity4628 group. CONCLUSION: There are inherited advantages and disadvantages to each form of urinary diversion and @entity1 selection is important to identify the most appropriate method of diversion for an individual.
