Abstract
Bladder tuberculosis leads to irreversible reduction of bladder capacity and subsequent shrinkage, which is manifested by persistent impairment of storage function and significant deterioration of the quality of life. Supratrigonal augmentation ileocystoplasty (AI) and cystectomy with orthotopic ileocystoplasty (OICP) are standard treatments for microcystis of tuberculous etiology. To date, there is a need for a more detailed study of the quality of life achieved after these methods of treatment and their comparison.
Aim: To evaluate quality of life in patients with microcystis of tuberculous etiology after augmentation and orthotopic ileocystoplasty.
Materials and methods. Two groups were formed in the study. The first group included 19 patients who underwent bladder resection with preservation of the urothelial triangle and subsequent AI. The second group consisted of 20 patients who underwent cystectomy and OICP. One to six years after the operation the patients were assessed for quality of life.
Results. Analysis of the “General health status” scores on the King’s health questionnaire demonstrates a worse quality of life in the group of patients who underwent bladder resection (p=0.013). On the QoL scale, the group of patients who underwent bladder resection showed worse quality of life related to urination than after cystectomy (p=0.019). For aspects of quality of life such as: social and physical restriction, personal relationships, general emotional state, sleep, etc., which were assessed by the corresponding domains of the King Health Questionnaire, patients of both groups had similar degrees of severity of restrictions in daily activities and in communication, degradation of personal relationships, deterioration of sleep and energy and in general the severity of their condition.