MP05-11 RECOVERY OF PATIENT-REPORTED FUNCTION, BODY IMAGE AND GENERAL HEALTH AFTER CYSTECTOMY AND URINARY DIVERSION

INTRODUCTION AND OBJECTIVES:Though a morbid surgery, patient-reported deficits and recovery of quality of life (QOL) after cystectomy have not been fully characterized. Prior QOL research after cystectomy is limited by cross-sectional assessment often based on non-specific measures.METHODS:150 cystectomy patients were accrued to a prospective QOL study from 2014 to 2016 and followed for 1 year after surgery. Study patients completed a series of questionnaires, including the Bladder Cancer Index (BCI), Body Image Scale (BIS) and Medical Outcomes Study Short Form (SF-36) prior to cystectomy and at 3, 6 and 12 months after surgery. Latent growth modeling was used to examine initial differences after cystectomy (conditional intercepts) and changes in score over time (conditional slopes) according to type of urinary diversion and adjusted for pre-surgery differences, age, sex and comorbidity.RESULTS:Neobladder (NB) patients experienced significant initial deficits in BCI urinary function scores compared to ile...