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| Effects of Different Urinary Diversion Surgeries on Urodynamic Parameters, Sexual Function and Quality of Life in Male Patients after Radical Cystectomy for Bladder Cancer |
| ZHANG Xichun |
| Department of Urology, the First People's Hospital of Nanyang, Nanyang Henan 473000 |
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Abstract 【Objective】To explore the effects of different urinary diversion surgeries on urodynamic parameters, sexual function and quality of life in male patients after radical cystectomy for bladder cancer. 【Methods】The clinical data of 90 male patients who underwent laparoscopic radical cystectomy in our hospital from January 2024 to December 2024 were analyzed retrospectively. According to the type of urinary diversion surgery, the patients were divided into the observation group (undergoing orthotopic ileal neobladder surgery) and the control group (undergoing ileal conduit surgery), with 45 cases in each group. The clinical indicators, urodynamic parameters, sexual function [International Index of Erectile Function-5 (IIEF-5) score, Arizona Sexual Experience Scale (ASEX) score] and quality of life [36-Item Short Form Health Survey (SF-36) score] were compared between the two groups. 【Results】There were no statistically significant differences in intraoperative blood loss, hospital stay and intestinal function recovery time between the two groups (P>0.05), while the operation time of the observation group was longer than that of the control group, with a statistically significant difference (P<0.05). There were no statistically significant differences in postoperative neobladder capacity and postoperative residual urine volume between the two groups (P>0.05). The postoperative maximum urinary flow rate, daytime urinary control rate and nighttime urinary control rate in the observation group were all higher than those in the control group (P<0.05). After surgery, the IIEF-5 score of the observation group was higher than that of the control group, and the ASEX score was lower than that of the control group (P<0.05). There were no statistically significant differences in scores of bodily pain, social function and role-emotional between the two groups (P>0.05). The scores of physical function, role-physical, general health, mental health and total score in the observation group were all higher than those in the control group (P<0.05). 【Conclusion】Orthotopic ileal neobladder surgery can improve the urodynamic parameters of male patients undergoing laparoscopic radical cystectomy for bladder cancer, and has less impact on patients' postoperative sexual function and quality of life.
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Received: 27 May 2024
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2025, Vol. 42 
