Department of Urology, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK; Division of Surgery and Interventional Science, University College London, London, UK.
Department of Urology, Royal Hallamshire Hospital, Sheffield, UK.
Eur Urol Focus. 2019 Mar;5(2):301-305. doi: 10.1016/j.euf.2017.06.015. Epub 2017 Jul 13.
The prayer ritual is an essential component of Islam that requires entry into a state of physical purity (wudhu) through ablution, which is invalidated by voiding. An important dilemma for patients and surgeons may arise when a Muslim patient is counselled on cystectomy because of the belief by some that an incontinent urinary diversion will automatically invalidate their wudhu.
To determine if there are any religious barriers and implications for Muslim patients undergoing an incontinent urinary diversion.
DESIGN, SETTING, AND PARTICIPANTS: A questionnaire was distributed to all UK mosques, addressed to the imam (n=804).
A total of 134 imams (response rate 16.7%) responded. There was general agreement among imams, with >90% answering that it is possible for a Muslim to perform ablution, pray, and enter a mosque with a urinary stoma. The majority of imams (86.6%) also stated that refusal of a urinary stoma was not justified by religious teachings. When asked if patients should choose the option of a neobladder despite this surgery having greater risk, 57.5% of respondents stated that they were either unsure or agreed with this alternative.
The majority of imams agreed that Muslims with a urinary stoma are able to maintain their ablution, allowing them to conduct their daily prayers, and that this form of surgery should not be refused on religious grounds. Our study suggests that the consensus view is that a urinary stoma is not contraindicated with regard to the practice of Islamic prayer rituals.
In this study we investigated if having a urinary stoma would be a religious barrier for Muslim patients in performing their obligatory prayer rituals. The overwhelming majority of imams stated that having a urinary stoma should not stop Muslim patients practising important aspects of their faith.
祈祷仪式是伊斯兰教的一个重要组成部分，需要通过净礼进入身体清洁的状态（小净），而净礼会因排尿而失效。对于穆斯林患者来说，如果需要进行膀胱切除术，一些人认为失禁性尿流改道会自动使他们的小净失效，这可能会给患者和外科医生带来一个重要的困境。
确定穆斯林患者接受失禁性尿流改道术是否存在任何宗教障碍和影响。
设计、地点和参与者：向英国所有的清真寺分发了一份问卷，寄给伊玛目（n=804）。
共有 134 名伊玛目（回应率为 16.7%）做出了回应。伊玛目们普遍达成一致，超过 90%的人回答说，穆斯林可以进行净礼、祈祷并进入有尿流改道的清真寺。大多数伊玛目（86.6%）还表示，拒绝尿流改道术并不是基于宗教教义的理由。当被问及患者是否应该选择使用新膀胱，尽管这种手术风险更大时，57.5%的受访者表示他们不确定或同意这种替代方案。
大多数伊玛目都认为有尿流改道的穆斯林能够保持净礼，允许他们进行日常祈祷，并且不应基于宗教理由拒绝这种手术。我们的研究表明，主流观点认为，尿流改道术在进行伊斯兰教祈祷仪式方面并没有禁忌。
在这项研究中，我们调查了是否有尿流改道会成为穆斯林患者进行强制性祈祷仪式的宗教障碍。绝大多数伊玛目表示，有尿流改道不应阻止穆斯林患者实践其信仰的重要方面。
