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Advances in Urology
Volume 2011 (2011), Article ID 715892, 5 pages
http://dx.doi.org/10.1155/2011/715892
Review Article

Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder Cancer

1Department of Urology, University of Washington, Seattle, WA 98195, USA
2Division of Urology, VA Puget Sound Health Care System, 1660 South Columbian Way, S-112-GU, Seattle, WA 98108, USA

Received 27 March 2011; Accepted 2 June 2011

Academic Editor: Maxwell V. Meng

Copyright © 2011 Cheryl Shih and Michael P. Porter. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

With multiple options for urinary diversion after radical cystectomy for bladder cancer that have comparable cancer control and complication rates, health-related quality of life (HRQOL) has become an important consideration. This article reviews the methods for defining HRQOL, the challenges in measuring HRQOL in bladder cancer, and the literature comparing HRQOL after various methods of urinary diversion. Recent contributions include the validation of HRQOL instruments specific to bladder cancer and the publication of several prospective studies measuring HRQOL outcomes after cystectomy and urinary diversion. There is no convincing evidence from existing literature that any particular method of urinary diversion offers superior HRQOL outcomes. Rather, there is growing evidence that good HRQOL can be achieved with patient education and consideration of each patient's clinical and psychosocial situation. Future research should utilize the validated bladder cancer specific HRQOL instruments and perhaps explore the impact of preoperative counseling on postoperative HRQOL.