الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 130 |  |  |
| | | from | 130 | | |
Abstract
Orthotopic neobladder reconstruction in women has become the standard of care after radical cystectomy in select women with bladder cancer (Ali-EL-Dein et al., 2008). It has been estimated that 80% of men and 65% of women undergoing radical cystectomy for bladder cancer are eligible for orthotopic neobladder (Hautmann, 2000).
Studying QOL after cystectomy and orthotopic diversion is of great importance to evaluate this type of diversion and whether it achieved its goal of mimicking the normal bladder function. Also, it helps provide patients with true information about which type of diversion is the best.
The objective of this study is to review the literature concerning studies performed on the quality of life (QOL) after orthotopic diversion in women after radical cystectomy, and comparing the effect of different types of diversion on the HRQOL.
It has been suggested that quality of life considerations were one of the main driving forces behind the development of continent urinary diversion. In the last decade a number of quality of life studies of patients with cystectomy were performed with somewhat heterogeneous results.
Although the historical argument in favour of orthotopic bladder replacements put by enthusiasts is around achieving a better postoperative QOL, the current published literatures do not conclusively document that one form of diversion is superior to another in terms of HRQOL.
It seems that the lack of strong evidence supporting a HRQOL advantages to orthotopic diversion is likely due to limitations in the existing literature and disease specific HRQOL outcomes assessment, rather than true equivalence in HRQOL following orthotopic diversion and ileal conduit.