Functional Outcomes of the Miami Pouch Continent Cutaneous Urinary Diversion: A Quality of Life Study (MiaDIG)
Functional Urinary and Digestive Outcomes After Miami Pouch: A Quality-of-Life Study (MIADIG)
The Miami Pouch is a continent cutaneous urinary diversion using the plicated right colon and the ileocecal valve as a catheterizable continent stoma. Despite its long history, functional outcomes remain poorly reported, with no consensus on continence definition or standardized assessment tools.
This single-center cross sectional cohort study evaluates functional outcomes in patients who underwent Miami Pouch urinary diversion at Hôpital Lyon Sud (Hospices Civils de Lyon, France) between 2015 and 2025. Patients were identified through institutional medical coding (PMSI) and contacted by telephone to complete validated patient-reported outcome measures.
The primary objective is to assess stomal continence using the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF).
Hypothesis: The Miami Pouch provides acceptable long-term stomal continence with limited impact on digestive function.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Théo ARBER, MD
- Phone Number: +33 04 72 67 88 37
- Email: Theo.Arber@chu-lyon.fr
Study Contact Backup
- Name: Cyril VITARD, MD
- Phone Number: +33 04 72 67 88 37
- Email: Cyril.vitard@chu-lyon.fr
Study Locations
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-
-
Pierre-Bénite, France, 69310
- Hôpital Lyon Sud
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Contact:
- Théo ARBER, MD
- Phone Number: +33 04 72 67 88 37
- Email: Theo.Arber@chu-lyon.fr
-
Contact:
- Cyril VITARD, MD
- Phone Number: +33 04 72 67 88 37
- Email: Cyril.vitard@chu-lyon.fr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Consecutive patients who underwent Miami Pouch continent cutaneous urinary diversion at the Urology Department of Hôpital Lyon Sud, Hospices Civils de Lyon, Pierre-Bénite, France, between 2015 and 2025. 35 patients estimation.
Patients identification through institutional surgical coding (PMSI) and contacted by phone for study participation
Description
Inclusion Criteria:
- Adult patients aged 18 years or older
- Miami Pouch continent cutaneous urinary diversion performed at Lyon Sud Hospital (HCL) between January 2015 and December 2025
- Minimum postoperative follow-up of 6 months
- No opposition to participation in the study
Exclusion Criteria:
- Patient deceased at time of study contact
- Patient unreachable or unavailable after three contact attempts
- Opposition to participation or to personal data processing
- Postoperative follow-up of less than 6 months
Study Plan
How is the study designed?
Design Details
- Observational Models: COHORT
- Time Perspectives: CROSS_SECTIONAL
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Miami pouch
Adult patients who underwent Miami Pouch continent cutaneous urinary diversion at the Urology Department of Hôpital Lyon Sud (HCL) between 2015 and 2025, with a minimum postoperative follow-up of 6 months |
Patients completed four validated questionnaires by telephone: the ICIQ-SF (urinary symptom frequency and impact), the SF-Qualiveen (urinary quality of life in neurogenic and non-neurogenic patients), a modified 20-item Gastrointestinal Quality of Life Index (digestive quality of life), and the Bristol Stool Scale (stool consistency) Patients performed a self-administered 24-hour stomal pad test at home. Absorbent pads were weighed before and after placement over the stoma. Total pad weight gain (grams) over 24 hours was used as an objective measure of stomal urinary leakage. |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Stomal Continence Rate
Time Frame: 6 months post-surgery
|
Stomal continence classified into three categories based on ICIQ-SF questionnaire :
|
6 months post-surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: ARBER Théo, MD, Hospices Civils de Lyon
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Neurologic Manifestations
- Nervous System Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urination Disorders
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urologic Neoplasms
- Urinary Bladder Diseases
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Urinary Incontinence
- Urinary Bladder Neoplasms
- Urinary Bladder, Neurogenic
- Health Services Administration
- Health Care Quality, Access, and Evaluation
- Investigative Techniques
- Epidemiologic Methods
- Data Collection
- Health Care Evaluation Mechanisms
- Quality of Health Care
- Public Health
- Environment and Public Health
- Health Care Economics and Organizations
- Outcome Assessment, Health Care
- Outcome and Process Assessment, Health Care
- Surveys and Questionnaires
- Health Planning
- Health Care Surveys
- Health Services Research
- Patient Outcome Assessment
- Patient Reported Outcome Measures
Other Study ID Numbers
Other Study ID Numbers
- 69HCL26_0869
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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