BJU International, Feb, 2014, Vol.113(2), p.260(6)
Byline: Michael A. Poch, Andrew P. Stegemann, Shabnam Rehman, Mohamed A. Sharif, Abid Hussain, Joseph D. Consiglio, Gregory E. Wilding, Khurshid A. Guru Keywords: bladder cancer; robotics; cystectomy; quality of life Objective * To determine short-term health-related quality of life (HRQL) outcomes after robot-assisted radical cystectomy (RARC) using the Bladder Cancer Index (BCI) and European Organisation for Research and Treatment of Cancer (EORTC) Body Image Scale (BIS). Patients and Methods * All patients undergoing RARC were enrolled in a quality assurance database. * The patients completed two validated questionnaires, BCI and BIS, preoperatively and at standardised postoperative intervals. * The primary outcome measure was difference in interval and baseline BCI and BIS scores. * Complications were identified and classified by Clavien grade. Results * In all, 43 patients completed pre- and postoperative questionnaires * There was a decline in the urinary domain at 0-1 month after RARC (P=0.006), but this returned to baseline by 1-2 months. * There was a decline in the bowel domain at 0-1 month (P 0.001) and 1-2 months (P=0.024) after RARC, but this returned to baseline by 2-4 months. * The decline in BCI scores was greatest for the sexual function domain, but this returned to baseline by 16-24 months after RARC. * Body image perception using BIS showed no significant change after RARC except at the 4-10 months period (P=0.018). Conclusions * Based on BCI and BIS scores HRQL outcomes after RARC show recovery of urinary and bowel domains [less than or equal to]6 months. Longer follow-up with a larger cohort of patients will help refine HRQL outcomes.
Sexual Disorders -- Patient Outcomes ; Robots ; Robotic Surgery ; Robotics Industry ; Body Image