Larissa Layne Soares Bezerra Silva, Danilo Martins Roque Pereira, Ednaldo Cavalcante de Araújo, Danúbia Islândia Oliveira Silva, Paula Daniella de Abreu, Mariana Mercês Mesquita Espíndola, Anderson Reis de Sousa
{"title":"Self-Care Agencies and Demands of Transgenitalized Women Based on Orem's Theory","authors":"Larissa Layne Soares Bezerra Silva, Danilo Martins Roque Pereira, Ednaldo Cavalcante de Araújo, Danúbia Islândia Oliveira Silva, Paula Daniella de Abreu, Mariana Mercês Mesquita Espíndola, Anderson Reis de Sousa","doi":"10.1111/ijun.70065","DOIUrl":"https://doi.org/10.1111/ijun.70065","url":null,"abstract":"<p>This study aimed to analyse the therapeutic self-care agencies and demands experienced by transgender women who have undergone vaginoplasty, based on Orem's Self-Care Nursing Theory. A qualitative multiple case study was conducted with transgender women receiving follow-up care at a specialized outpatient clinic for transgender and transvestite individuals in Recife, Pernambuco, Brazil. Data were collected through online semi-structured interviews and analysed thematically. Five thematic categories emerged: conceptualizing self-care; experiencing the postoperative period; feelings and changes in self-care; continuity of postoperative care; and the impact of vaginal dilation and satisfaction on gender-affirming surgery outcomes. The findings reveal that self-care following vaginoplasty is a complex and dynamic process that extends beyond the physical maintenance of the neovaginal canal to encompass emotional, psychological, and social dimensions. The study highlights the importance of comprehensive, individualized, and theory-informed nursing care to strengthen self-care agency, promote adherence to postoperative care, and improve the health and quality of life of transgender women.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148615669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Larissa Layne Soares Bezerra Silva, Danilo Martins Roque Pereira, Ednaldo Cavalcante de Araújo, Danúbia Islândia Oliveira Silva, Paula Daniella de Abreu, Mariana Mercês Mesquita Espíndola, Anderson Reis de Sousa
{"title":"Self-Care Agencies and Demands of Transgenitalized Women Based on Orem's Theory","authors":"Larissa Layne Soares Bezerra Silva, Danilo Martins Roque Pereira, Ednaldo Cavalcante de Araújo, Danúbia Islândia Oliveira Silva, Paula Daniella de Abreu, Mariana Mercês Mesquita Espíndola, Anderson Reis de Sousa","doi":"10.1111/ijun.70065","DOIUrl":"https://doi.org/10.1111/ijun.70065","url":null,"abstract":"<p>This study aimed to analyse the therapeutic self-care agencies and demands experienced by transgender women who have undergone vaginoplasty, based on Orem's Self-Care Nursing Theory. A qualitative multiple case study was conducted with transgender women receiving follow-up care at a specialized outpatient clinic for transgender and transvestite individuals in Recife, Pernambuco, Brazil. Data were collected through online semi-structured interviews and analysed thematically. Five thematic categories emerged: conceptualizing self-care; experiencing the postoperative period; feelings and changes in self-care; continuity of postoperative care; and the impact of vaginal dilation and satisfaction on gender-affirming surgery outcomes. The findings reveal that self-care following vaginoplasty is a complex and dynamic process that extends beyond the physical maintenance of the neovaginal canal to encompass emotional, psychological, and social dimensions. The study highlights the importance of comprehensive, individualized, and theory-informed nursing care to strengthen self-care agency, promote adherence to postoperative care, and improve the health and quality of life of transgender women.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148615668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pernilla Sundqvist, Angela Canós, Prieto Chaparro, Kaj Stenlöf, Montserrat Baixauli, Anne-Marie Kivi, Maria Lennerås, Agustin Franco
{"title":"A New Angulated Intermittent Catheter Facilitates Location of the Female Urethra","authors":"Pernilla Sundqvist, Angela Canós, Prieto Chaparro, Kaj Stenlöf, Montserrat Baixauli, Anne-Marie Kivi, Maria Lennerås, Agustin Franco","doi":"10.1111/ijun.70063","DOIUrl":"https://doi.org/10.1111/ijun.70063","url":null,"abstract":"<div>\u0000 \u0000 <p>Intermittent self-catheterization has become the gold standard for bladder emptying in people with neurogenic lower urinary tract dysfunction. One of the main challenges experienced by women starting to perform intermittent catheterization is finding the urethra. The aim of this prospective, single-arm, multicentre study was to investigate the quality of life of subjects using a new catheter with an angulated handle aimed to facilitate locating the urethra (LoFric Elle), as well as satisfaction, perception and adherence to the intermittent self-catheterization regimen. Data were collected using the validated Intermittent self-catheterization questionnaire (ISC-Q, with results ranging from 0 to 100) and the Wellspect questionnaire (five-grade questionnaire from totally agree to totally disagree). A total of 20 subjects fulfilling the eligibility criteria were included in the study and followed-up for 2 weeks. All subjects were easy to train on the use of the catheter. During the study period, 80% of the subjects used the handle every time, 10% more than 20 times and 5% more than 10 times, with only one subject (5%) not using the angulated handle at any time throughout the 2 weeks. The analysis of the total ISC-Q showed that subjects reported a high Quality of Life after using LoFric Elle (75.9 ± 13.04) and positive results were obtained in all the ISC-Q domains, including ‘ease of use’ (78.13 ± 24.33), ‘convenience’ (67.50 ± 25.21), ‘discreetness’ (88.33 ± 19.43) and ‘psychological well-being’ (66.04 ± 21.81). The results on the Wellspect questionnaire revealed that 80% of the subjects were satisfied with LoFric Elle and the majority found that the device was easy to hold when catheterizing with the handle (75%) and that the use of an angulated handle had advantages, for example, felt clean and hygienic (75%). Overall, these results suggest that LoFric Elle is a viable option for women requiring IC and that its angulated handle offers new possibilities to use the catheter, facilitates locating the urethra and that the distance it creates provides hygienic catheterization conditions.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148615478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pernilla Sundqvist, Angela Canós, Prieto Chaparro, Kaj Stenlöf, Montserrat Baixauli, Anne-Marie Kivi, Maria Lennerås, Agustin Franco
{"title":"A New Angulated Intermittent Catheter Facilitates Location of the Female Urethra","authors":"Pernilla Sundqvist, Angela Canós, Prieto Chaparro, Kaj Stenlöf, Montserrat Baixauli, Anne-Marie Kivi, Maria Lennerås, Agustin Franco","doi":"10.1111/ijun.70063","DOIUrl":"https://doi.org/10.1111/ijun.70063","url":null,"abstract":"<div>\u0000 \u0000 <p>Intermittent self-catheterization has become the gold standard for bladder emptying in people with neurogenic lower urinary tract dysfunction. One of the main challenges experienced by women starting to perform intermittent catheterization is finding the urethra. The aim of this prospective, single-arm, multicentre study was to investigate the quality of life of subjects using a new catheter with an angulated handle aimed to facilitate locating the urethra (LoFric Elle), as well as satisfaction, perception and adherence to the intermittent self-catheterization regimen. Data were collected using the validated Intermittent self-catheterization questionnaire (ISC-Q, with results ranging from 0 to 100) and the Wellspect questionnaire (five-grade questionnaire from totally agree to totally disagree). A total of 20 subjects fulfilling the eligibility criteria were included in the study and followed-up for 2 weeks. All subjects were easy to train on the use of the catheter. During the study period, 80% of the subjects used the handle every time, 10% more than 20 times and 5% more than 10 times, with only one subject (5%) not using the angulated handle at any time throughout the 2 weeks. The analysis of the total ISC-Q showed that subjects reported a high Quality of Life after using LoFric Elle (75.9 ± 13.04) and positive results were obtained in all the ISC-Q domains, including ‘ease of use’ (78.13 ± 24.33), ‘convenience’ (67.50 ± 25.21), ‘discreetness’ (88.33 ± 19.43) and ‘psychological well-being’ (66.04 ± 21.81). The results on the Wellspect questionnaire revealed that 80% of the subjects were satisfied with LoFric Elle and the majority found that the device was easy to hold when catheterizing with the handle (75%) and that the use of an angulated handle had advantages, for example, felt clean and hygienic (75%). Overall, these results suggest that LoFric Elle is a viable option for women requiring IC and that its angulated handle offers new possibilities to use the catheter, facilitates locating the urethra and that the distance it creates provides hygienic catheterization conditions.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148615515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sustainable Continence Care: Evaluating Washable Absorbent Underwear for Light Bladder Weakness","authors":"Niuosha Sanaeifar, Rüdiger Kesselmeier, Tamara Buch, Ann-Cathrin Schmidt","doi":"10.1111/ijun.70064","DOIUrl":"https://doi.org/10.1111/ijun.70064","url":null,"abstract":"<p>Urinary incontinence (UI) is a common condition among women, often leading to significant impacts on quality of life and social well-being. Management of UI frequently involves the use of absorbent products to contain urine leakage, support hygiene and enable daily activities. Selecting appropriate continence products is essential for comfort, dignity and maintaining social participation. This study aimed to evaluate user satisfaction and performance characteristics of two types of washable absorbent underwear designed for women with very light to light bladder weakness—one incorporating an integrated absorbent core (Product A), and the other utilising a modular system with disposable, interchangeable absorbent pads (Product B). A blind-monadic in-home use test with 204 women indicated generally positive evaluations for both products. Product A received slightly higher ratings for overall satisfaction (4.0 vs. 3.8), wearability and perceived environmental impact. Both products scored highly in leakage protection, dryness, comfort and discretion. Product B's modular design was noted for extra protection and ease of use, though it was slightly less preferred for wearability. Visual attributes such as femininity and attractiveness were rated positively for both products. Washable absorbent underwear may offer a practical and sustainable conscious option for managing light UI. These products demonstrated functional benefits and were well accepted by participants. The findings of this study support the integration of reusable solutions into broader incontinence management strategies.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sustainable Continence Care: Evaluating Washable Absorbent Underwear for Light Bladder Weakness","authors":"Niuosha Sanaeifar, Rüdiger Kesselmeier, Tamara Buch, Ann-Cathrin Schmidt","doi":"10.1111/ijun.70064","DOIUrl":"https://doi.org/10.1111/ijun.70064","url":null,"abstract":"<p>Urinary incontinence (UI) is a common condition among women, often leading to significant impacts on quality of life and social well-being. Management of UI frequently involves the use of absorbent products to contain urine leakage, support hygiene and enable daily activities. Selecting appropriate continence products is essential for comfort, dignity and maintaining social participation. This study aimed to evaluate user satisfaction and performance characteristics of two types of washable absorbent underwear designed for women with very light to light bladder weakness—one incorporating an integrated absorbent core (Product A), and the other utilising a modular system with disposable, interchangeable absorbent pads (Product B). A blind-monadic in-home use test with 204 women indicated generally positive evaluations for both products. Product A received slightly higher ratings for overall satisfaction (4.0 vs. 3.8), wearability and perceived environmental impact. Both products scored highly in leakage protection, dryness, comfort and discretion. Product B's modular design was noted for extra protection and ease of use, though it was slightly less preferred for wearability. Visual attributes such as femininity and attractiveness were rated positively for both products. Washable absorbent underwear may offer a practical and sustainable conscious option for managing light UI. These products demonstrated functional benefits and were well accepted by participants. The findings of this study support the integration of reusable solutions into broader incontinence management strategies.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to: “Knowledge, Practice and Associated Factors of Health Workers Towards Catheter Associated Urinary Tract Infection Prevention in Ethiopia: Systematic Review and Meta-Analysis”","authors":"","doi":"10.1111/ijun.70062","DOIUrl":"https://doi.org/10.1111/ijun.70062","url":null,"abstract":"<p>\u0000 <span>A. S. Asgai</span>, <span>D. M. Kidie</span>, <span>T. Lidetu</span>, et al., “ <span>Knowledge, Practice and Associated Factors of Health Workers Towards Catheter Associated Urinary Tract Infection Prevention in Ethiopia: Systematic Review and Meta-Analysis</span>,” <i>International Journal of Urological Nursing</i> <span>20</span>, no. <span>2</span> (<span>2026</span>): e70055, https://doi.org/10.1111/ijun.70055.\u0000 </p><p>The author Tadios Lidetu's first name has been updated from “Tadious” to “Tadios,” and the author Tilahun Bitew's last name has been updated from “Bitaw” to “Bitew.” The online version of this article has been corrected accordingly.</p><p>We apologize for this error.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148324740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to: “Knowledge, Practice and Associated Factors of Health Workers Towards Catheter Associated Urinary Tract Infection Prevention in Ethiopia: Systematic Review and Meta-Analysis”","authors":"","doi":"10.1111/ijun.70062","DOIUrl":"https://doi.org/10.1111/ijun.70062","url":null,"abstract":"<p>\u0000 <span>A. S. Asgai</span>, <span>D. M. Kidie</span>, <span>T. Lidetu</span>, et al., “ <span>Knowledge, Practice and Associated Factors of Health Workers Towards Catheter Associated Urinary Tract Infection Prevention in Ethiopia: Systematic Review and Meta-Analysis</span>,” <i>International Journal of Urological Nursing</i> <span>20</span>, no. <span>2</span> (<span>2026</span>): e70055, https://doi.org/10.1111/ijun.70055.\u0000 </p><p>The author Tadios Lidetu's first name has been updated from “Tadious” to “Tadios,” and the author Tilahun Bitew's last name has been updated from “Bitaw” to “Bitew.” The online version of this article has been corrected accordingly.</p><p>We apologize for this error.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148324739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa Leibnitz, Ashley Causa, Susana Lopez, Trina Aguirre
{"title":"Evaluation of an External Urinary Device Protocol and Practices in Hospitalised Female Patients: A Quality Improvement Project at a Rural Midwestern Hospital","authors":"Melissa Leibnitz, Ashley Causa, Susana Lopez, Trina Aguirre","doi":"10.1111/ijun.70060","DOIUrl":"https://doi.org/10.1111/ijun.70060","url":null,"abstract":"<p>Urinary incontinence management through the use of an external urinary device (EUD) has captured the attention of hospitals in the prevention of catheter-associated urinary tract infections with the theory of reduction in the use of indwelling urinary catheters. Retrospective chart review of 65 charts of women who were fitted with EUD's during their hospital stay was conducted. Descriptive data were gathered. Use of EUD under the current protocol resulted in increased patient length of stay and increased number of hospital acquired pressure injuries. Despite FDA reporting and limited evidence-based research, facilities continue to move forward with EUD use, potentially increasing the risk of morbidity and mortality in their patient populations.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148079859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}