Abstract
The aim of the present study is to make sure the influence of “the intension of operator” at the selection of urinary diversion in the patients who will undergo total cystectomy for locally advanced bladder cancer．We reviewed hospital chart and analyzed the numbers of urinary diversion performed in our institute．Previously,we considered that the QOL of both continent veservoir and neobladder was much better than that of incontinent urinary diversion．QOL study performed at 1995 disclosed continent reservoir had worst QOL among three urinary diversion methods．Thereafter,we ignored the continent reservoir and recommended neobladder or incontinent urinary diversion methods to patients．QOL study at 2003 denated that postoparetive QOL scores among patients who underwent neobladder were significantly higher than Norm-based scoring(NBS)．Recently performed QOL study again confirmed these results．From the recent study,we concluded that “the intension of oparator” had major effect on the selection of urinary diversion method．On the other hand,“the intension of operator” was also influenced by the results of QOL study performd with patient-based outcome．
