Author (Year) Location Sample size
Scale(s) used
Principal findings IC CCD NB Prospective longitudinal studies of quality of life in patients treated with urinary diversion
Hardt et al. [8 ] (2000) Germany 24 20 SF-36, Self-design Sexual fxn similar, all SF-36 domains returned to baseline by 1yr except physical fxn. Note: 75% would choose the same diversion
Somani et al. [50 ] (2009) UK 29 3 SEIQoL-DW, SWLS, EORTC QLQ-C30 “Family”, “health”, “relationships”, and “finance” identified as biggest contributors to QoL Cross-sectional studies of quality of life in patients treated with urinary diversion
Boyd et al. [35 ] (1987) USA 87 85 BDI, POMS, Self-design Preoperative education important for adaptation. CCD: more likely to be sexually active
Mansson et al. [51 ] (1988) Sweden 40 20 Self-design IC: more problems with stomal issues such as leakage + odor
Bjerre et al. [52 ] (1995) Denmark 29 38 Self-design NB with greater incontinence, but IC with greater distress from leakage and lower body image
Gerharz et al. [36 ] (1997) Germany 131 61 Self-design Similar coping strategies, social support. CCD: Better global QOL and fewer stomal issues
Okada et al. [6 ] (1997) Japan 63 74 Self-design CCD: less local stoma problems; greater satisfaction
Hart et al. [37 ] (1999) USA 25 93 103 4 Self-report questionnaires Overall, high QOL in all groups. IC: worse social function
Kitamura et al. [53 ] (1999) Japan 36 22 21 EORTC QLQ-C30 Similar overall QOL between groups. IC: more trouble with public restrooms + travel
Fujisawa et al. [39 ] (2000) Japan 20 36 SF-36 Similar QOL between diversion types
McGuire et al. [54 ] (2000) USA 38 16 38 SF-36 IC: statistically lower mental well being than population-based norm.
Conde Redondo et al. [55 ] (2001) Spain 6 27 Self-design IC: greater distress with urine leakage + lower body image
Hobisch et al. [56 ] (2001) Austria 33 69 EORTC QLQ-C30 NB better across all domains
Dutta et al. [57 ] (2002) USA 23 49 SF-36, FACT-G NB marginally better on several domains Cross-sectional studies of quality of life in patients treated with urinary diversion
Hara et al. [58 ] (2002) Japan 37 48 SF-36, Self-design Equivalent in all domains of SF-36
Mansson et al. [59 ] (2002) Sweden 35 29 FACT-BL, HADS NB: more problems with incontinence
Protogerou et al. [60 ] (2004) Greece 58 50 EORTC QLQ-C30 Included matched 54 patient control group. IC with greater urine odor and day and nighttime leakage than NB or controls.
Allareddy et al. [61 ] (2006) USA 56 26 FACT-BL Compared to intact bladder (
): Sexual fxn lower in individuals undergoing cystectomy. Similar QOL between diversion groups.
Kikuchi et al. [40 ] (2006) Japan 20 14 15 FACT-BL Overall QOL similar between groups. NB: worse urinary control, better body image
Gilbert et al. [33 ] (2007) USA 66 122 BCI Urinary, bowel and sexual differences exist by diversion type. NB may have worse urinary fxn
Saika et al. [62 ] (2007) Japan 56 31 22 EORTC QLQ-C30, Satisfaction Assessment of patients 75+ yrs old: Similar QOL between diversion types, including 31 with ureterocutaneostomy.
Harano et al. [63 ] (2007) Japan 20 21 SF-36, Self-design Similar QOL between diversion types
Philip et al. [64 ] (2009) United Kingdom 24 28 SF-36 Overall QOL similar NB: Better physical function
Sogni et al. [65 ] (2008) Italy 18 16 EORTC: QLQ-C30, QLQ-BLM30 Assessment of patients 75+ yrs old: Similar QOL between diversion types. NB: 56% and 25% daytime and nighttime complete continence rates
Hedgepeth et al. [19 ] (2010) USA 89 144 BCI, EORTC BIS Included bladder-intact comparison group (
); NB: Lower urinary function. Body Image is similar between NB and IC.