Studer U, Furger P
Schweiz Med Wochenschr. 1981 Nov 28;111(48):1834-9.
In certain functional disorders of the urinary bladder or invasive carcinoma, cystectomy with urinary diversion to the abdominal wall (urostomy) is indicated and life-prolonging. In order to know what the consequences were for these patients, and if their life with a urostomy is still outwardly worth living, 66 of our urostomy patients have been surveyed. Only one patient is on a disablement pension because of the urostomy. The limitations on leisure are mostly the realms of sport and travel; married life, despite sexual problems, is comparatively little affected. The causes for the limitations are discussed. For most patients the urinary diversion brought an improvement in "life comfort", and, generally, it can be said that urostomy is not an disabling operation and psychosocial reintegration is possible.
在某些膀胱功能紊乱或浸润性癌的情况下，进行膀胱切除术并将尿液改道至腹壁（尿流改道术）是必要的且可延长生命。为了了解这些患者的情况如何，以及他们带尿流改道术的生活在外在方面是否仍值得过下去，我们对66例接受尿流改道术的患者进行了调查。只有一名患者因尿流改道术领取伤残抚恤金。休闲活动的限制主要在体育和旅行方面；尽管存在性问题，但婚姻生活受影响相对较小。对限制的原因进行了讨论。对大多数患者而言，尿液改道使“生活舒适度”得到改善，一般来说，可以说尿流改道术并非致残性手术，患者有可能实现心理社会重新融入。
