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Defecation disturba...
Defecation disturbances after cystectomy for urinary bladder cancer
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- Thulin, Helena (author)
- Karolinska Institutet,Karolinska Institute
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- Kreicbergs, Ulrika (author)
- Karolinska Institutet,Karolinska institutet. Dana Farber Cancer Insitute, Bostron, USA.
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- Onelöv, Erik (author)
- Karolinska Institutet,Karolinska Institute
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- Ahlstrand, Christer (author)
- Östergötlands Läns Landsting,Linköpings universitet,Urologi,Hälsouniversitetet,Urologiska kliniken i Östergötland
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- Carringer, Malcolm (author)
- Orebro University Hospital
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- Holmäng, Sten, 1954 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology,Sahlgrens University Hospital
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- Ljungberg, Börje (author)
- Umeå universitet,Urologi och andrologi,Norrlands University Hospital
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- Malmström, Per-Uno (author)
- Uppsala universitet,Urologkirurgi,Uppsala University
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- Robinsson, David (author)
- Ryhov County Hospital
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- Wijkström, Hans (author)
- Karolinska University
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- Wiklund, N Peter (author)
- Karolinska Institutet,Karolinska Institute
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- Steineck, Gunnar, 1952 (author)
- Karolinska Institutet,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology,Karolinska Institute
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- Henningsohn, Lars (author)
- Karolinska Institutet,Karolinska Institute
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(creator_code:org_t)
- Blackwell Publishing Ltd, 2011
- 2011
- English.
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In: BJU International. - : Blackwell Publishing Ltd. - 1464-4096 .- 1464-410X. ; 108:2, s. 196-203
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https://doi.org/10.1...
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Abstract
Subject headings
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- What’s known on the subject? and What does the study add?Functional gastrointestinal symptoms and problems are common after radical cystectomy with urinary diversion. This study adds new important epidemiological data on this group of symptoms. OBJECTIVE: To describe and compare long-term defecation disturbances in patients who had undergone a cystectomy due to urinary bladder cancer with non-continent urostomies, continent reservoirs and orthotopic neobladder urinary diversions. PATIENTS AND METHODS: During their follow-up we attempted to contact all men and women aged 30–80 years who had undergone cystectomy and urinary diversion at seven Swedish hospitals. During a qualitative phase we identified defecation disturbances as a distressful symptom and included this item in a study-specific questionnaire together with free-hand comments. The patients completed the questionnaire at home. Outcome variables were dichotomized and the results are presented as relative risks with 95% confidence interval. RESULTS: The questionnaire was returned from 452 (92%) of 491 identified patients. Up to 30% reported problems with the physiological emptying process of stool (bowel movement, sensory rectal function, awareness of need for defecation, motoric rectal and anal function, straining ability). A sense of decreased straining capacity was reported by 20% of the men and women with non-continent urostomy and 14% and 8% of those with continent reservoirs and orthotopic neobladders, respectively. CONCLUSIONS: Of the cystectomized individuals 30% reported problems with the physiological emptying process of stool (bowel movement, sensory rectal function, awareness of need for defecation, motoric rectal and anal function, straining ability). Those wanting to improve the situation for bladder cancer survivors may consider communicating before surgery the possibility of stool-emptying problems, and asking about them after surgery.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)
Keyword
- cystectomy
- urinary diversion
- faecal straining capacity
- medicin
- Medicine
- MEDICINE
- cystectomy; urinary diversion; faecal straining capacity
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Thulin, Helena
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Kreicbergs, Ulri ...
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Onelöv, Erik
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Ahlstrand, Chris ...
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Carringer, Malco ...
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Holmäng, Sten, 1 ...
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Ljungberg, Börje
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Malmström, Per-U ...
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Robinsson, David
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Wijkström, Hans
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Wiklund, N Peter
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Steineck, Gunnar ...
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Henningsohn, Lar ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Urology and Neph ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- Articles in the publication
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BJU Internationa ...
- By the university
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Umeå University
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Uppsala University
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University of Gothenburg
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Karolinska Institutet
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Marie Cederschiöld högskola
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Linköping University