Orthotopic neobladder vs. ileal conduit urinary diversion: A long-term quality-of-life comparison

Abstract Purpose The optimal form of urinary diversion following radical cystectomy remains controversial. We sought to compare the long-term health-related quality-of-life outcomes between patients with orthotopic neobladder and ileal conduit diversion (ICD). Patients and methods We enrolled 95 patients following radical cystectomy and ICD ( n = 49) or orthotopic neobladder reconstruction (ONR) ( n = 46), with a minimum interval of 1 year from surgery. All patients completed the Bladder Cancer Index questionnaire, assessing their urinary, bowel, and sexual function, and bother scores. Results Patients treated with ONR were generally younger and healthier compared with those who underwent ICD ( P P P P Conclusions Our study suggests that the bother resulting from urinary incontinence and the risk of sexual dysfunction be highlighted to those electing for neobladder reconstruction, whereas patients preferring conduit diversion should be reassured that their expected quality of life is not compromised.