{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:45:49Z","timestamp":1787013949620,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"S4","license":[{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare perioperative morbidity, functional and quality\u2010of\u2010life (QoL) outcomes in patients with partial cystectomy vs radical cystectomy as part of pelvic exenteration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Retrospective analysis of a prospectively maintained database of pelvic exenteration patients (1998\u20132021) was conducted in a single centre. Study outcomes included postoperative complications, quality\u2010of\u2010life, functional and stoma\u2010related outcomes. The 36\u2010item Short\u2010Form Health Survey Physical and Mental Health Components, Functional Assessment of Cancer Therapy\u2010Colorectal questionnaires and Distress Thermometer were available pre\u2010 and postoperatively. QoL outcomes were compared at the various time points. Stoma embarrassment and care scores were compared between patients with a colostomy, urostomy, and both.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Urological complications were similar between both groups, but patients with partial cystectomy experienced less wound\u2010related complications. Overall, 34\/81 (42%) partial cystectomy patients reported one or more long\u2010term voiding complication (i.e., incontinence [17 patients], frequency [six], retention [three], high post\u2010voiding residuals [10], permanent suprapubic catheter\/indwelling catheter [14], recurrent urinary tract infection [nine], percutaneous nephrostomy [three], progression to urostomy [three]). The QoL improved following surgery in both the partial and radical cystectomy groups, differences between cohorts were not significant. Patients with two stomas reported higher embarrassment scores than patients with one stoma, although this did not result in more difficulties in stoma care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Partial cystectomy patients have fewer postoperative wound\u2010related complications than radical cystectomy patients, but often experience long\u2010term voiding issues. The QoL outcomes are similar for both cohorts, with significant improvement following surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16299","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T21:38:28Z","timestamp":1708465108000},"page":"53-63","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of urological outcomes and quality of life after pelvic exenteration: partial vs radical cystectomy"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2393-2700","authenticated-orcid":false,"given":"Charlotte S.","family":"van Kessel","sequence":"first","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe)  Sydney New South Wales Australia"},{"name":"Department of Colorectal Surgery Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catalina A.","family":"Palma","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Solomon","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe)  Sydney New South Wales Australia"},{"name":"Department of Colorectal Surgery Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Institute of Academic Surgery (IAS) at RPAH  Sydney New South Wales Australia"},{"name":"University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Leslie","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Institute of Academic Surgery (IAS) at RPAH  Sydney New South Wales Australia"},{"name":"University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0777-6883","authenticated-orcid":false,"given":"Nicola","family":"Jeffery","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Lee","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe)  Sydney New South Wales Australia"},{"name":"Department of Colorectal Surgery Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirk K. 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