2nd Department of Surgery-Pediatric Surgery and Orthopedics, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
"Sfânta Maria" Emergency Children Hospital, 700309 Iași, Romania.
Int J Environ Res Public Health. 2022 Aug 5;19(15):9628. doi: 10.3390/ijerph19159628.
: The advancement of surgical strategies in various types of urological conditions has resulted in improved functional outcomes, but the issues of patient perception and life quality remain difficult to assess, particularly in pediatric populations. We aimed to critically analyze the outcomes of urinary continent diversion in pediatric patients treated in our institution for various bladder conditions. : We conducted a cross-sectional study, reviewing the records of patients treated for bladder evacuation problems between 2003 and 2014, and analyzing the data of those with continent urinary diversion. We used two types of questionnaires to assess the impact on life quality: the Qualiveen-30 and the SF-36 Health Survey. : The study included one hundred thirty-four patients with bladder conditions, and eight underwent urinary diversion, at a median age of 6.5 years. Seven of them, aged 10-23 years, completed questionnaires, with all seven scoring high on physical functioning scale but low on the social functioning scale. : Continent urinary diversion remains the treatment of choice in well selected patients, but the results must be considered both in terms of functional outcomes and the impact on these patients' emotional and mental health.
:各种类型的泌尿科疾病的外科治疗策略的进步已经导致了功能结果的改善,但患者感知和生活质量的问题仍然难以评估,特别是在儿科人群中。我们旨在批判性地分析我们机构治疗的各种膀胱疾病的儿科患者的尿流控制转流的结果。:我们进行了一项横断面研究,回顾了 2003 年至 2014 年间治疗膀胱排空问题的患者的记录,并分析了有尿流控制转流的患者的数据。我们使用两种类型的问卷来评估对生活质量的影响:Qualiveen-30 和 SF-36 健康调查。:该研究包括 134 名患有膀胱疾病的患者,其中 8 名接受了尿流转流治疗,中位年龄为 6.5 岁。其中 7 名年龄在 10-23 岁之间的患者完成了问卷,他们的身体功能评分均较高,但社会功能评分较低。:在经过精心选择的患者中,尿流控制转流仍然是治疗的首选,但必须考虑到这些患者的功能结果以及对他们的情感和心理健康的影响。