International Journal of Urological Nursing最新文献

{"title":"Pain experiences of nephrolithiasis patients planned for percutaneous nephrolithotomy: A qualitative study","authors":"Sevgi Deniz Doğan RN, PhD,&nbsp;Şeyma Yurtseven RN, PhD,&nbsp;İpek Köse Tosunöz RN, PhD","doi":"10.1111/ijun.12410","DOIUrl":"https://doi.org/10.1111/ijun.12410","url":null,"abstract":"<p>This study was carried out to determine the pain experienced by nephrolithiasis patients scheduled for PNL and the methods of coping with pain. The qualitative descriptive study was conducted with 22 patients aged between 23 and 75 years who experienced pain due to nephrolithiasis. The data were collected between January and November 2023 using the “Personal Information Form” and “Semi-structured Interview Form”. The content analysis was used to investigate the pain experienced by patients. Patients reported the character of pain as pulling, stabbing, scratching, swelling, pressing, and indescribable, and the intensity of the pain as the most severe pain experienced, unbearable, and killing. Patients reported the effects of the pain as tiring, immobilized, breathtaking, and appetite suppressant. The methods used by the patients were categorized under two themes: pain-orientated and directed at the source of pain. In addition to pharmacological methods to cope with pain, patients reported hot application and distraction techniques. Patients also reported using some herbs in addition to the medical treatments recommended by the physician to reduce kidney stones to cope with the pain they experienced. In line with these results, the subjective nature of pain should not be forgotten during pain assessment, which is one of the most important steps in controlling the pain of patients with renal colic due to nephrolithiasis, and pain should be evaluated in all its dimensions. Considering that patients also use nonpharmacological methods to control this severe pain, these methods should be questioned.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488423","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":"The impact of psychological factors and anxiety on uroflowmetry results","authors":"Elife Kettas Dolek PhD, RN,&nbsp;Tolga Açikal MD,&nbsp;Erdem Akbay MD,&nbsp;Melih Biyikoğlu MD,&nbsp;Erim Erdem MD","doi":"10.1111/ijun.12408","DOIUrl":"https://doi.org/10.1111/ijun.12408","url":null,"abstract":"<p>The European Association of Urology and the International Incontinence Society recommend uroflowmetry (UF) as the first objective assessment tool for patients with signs and symptoms of lower urinary tract dysfunction. In addition, the American Urological Association stated that “clinicians should be aware that the UF may be affected by the voided volume (VV) and the conditions of the test” and that “consistent, similar and comparable serial UF measurements provide the most valuable results.” This study aimed to investigate the impact of psychological factors and anxiety on UF results. The study comprised 42 patients (20 men and 22 women) who presented to our clinic, reported lower urinary tract symptoms, and were scheduled to undergo UF between the 1st of February 2020 and the 1st of March 2022. We evaluated the generalized anxiety disorder-7 form (GAD-7) to determine the general and baseline anxiety level of the patients and the state–trait anxiety inventory scale (STAI-S) to determine the current anxiety level of the patients. A non-significant increase in post-voiding residual urine was observed in the second UF compared to the first one (<i>p</i> &gt; 0.05). However, there was a significant increase in the VV, peak flow rate and average flow rate and a significant decrease in the time to peak flow rate for all patients (<i>p</i> &lt; 0.05). Consistent with the GAD-7, all patients had moderate general anxiety before the first UF. However, men's anxiety levels decreased to a mild level on the second session (<i>p</i> &lt; 0.05), while women's remained at a moderate level (<i>p</i> &gt; 0.05). There was a non-significant decrease in STAI-S scores before the second uroflowmetry compared to the first in both genders (<i>p</i> &gt; 0.05). In addition, women's STAI-S scores were higher than men's in both sessions (<i>p</i> &lt; 0.01). No significant correlation was found between the percentage change in STAI-S scores and all uroflowmetry parameters (<i>p</i> &gt; 0.05). We determined that patients of both genders experienced moderate general anxiety before UF, which decreased in men on the second session and remained in women. In addition, we found that the women had a higher momentary anxiety compared to men before both UF sessions. Patients' sense of privacy and embarrassment can lead to tension, anxiety and stress, which may have an impact on the results of UF. Reducing patient anxiety during the UF test can contribute to more accurate diagnoses and appropriate treatment by clinicians.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488424","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":"Setting up the endoscopy room for benign prostatic hypertrophy treatment: Nursing expertise relevance","authors":"Luca Dal Corso RN,&nbsp;Veronica Gilioli RN,&nbsp;Michele Boldini MD,&nbsp;Alberto Bianchi MD,&nbsp;Davide Brusa MD,&nbsp;Emanuele Rubilotta MD,&nbsp;Alessandro Antonelli MD","doi":"10.1111/ijun.12413","DOIUrl":"https://doi.org/10.1111/ijun.12413","url":null,"abstract":"<p>In recent decades, nursing has been integrated into increasingly advanced and complex healthcare settings. One of the environments in which the level of preparation and expertise required of nurses is most adaptable is the operating room, where the variety of surgical approaches and the use of sometimes complex equipment at times requires a long learning curve. One of the specialties most affected in this regard is urology, with several techniques having emerged in recent years, particularly in the field of endoscopic treatment of benign prostatic hyperplasia (BPH). Understanding how the expertise of the surgical nurse may be influenced by the learning of new surgical procedures allows us to grasp how different the learning curve may differ between experienced and less experienced nurses in dealing with new surgical approaches. A total of 36 patients diagnosed with BPH and eligible for endoscopic treatments were enrolled (9 candidates for TURP, 9 for Holmium laser enucleation of the prostate (HoLEP), 9 for REZUM water vapour therapy, and 9 for UROLIFT). The nursing expertise was divided into three levels: novice (endoscopic room experience &lt;6 months), competent (&gt;1 year and 6 months of experience), and expert (experience &gt;6 years). Objectively measurable data were collected regarding the instrumentation required to perform procedures, the setup time of the operating room and surgical devices, and the transition time between procedures in the same operating room. Surgical nurses were also asked to provide subjective commentary on the perceived difficulty in dealing with the four types of procedures. Regarding the learning curve of the surgical nurse, minimally invasive procedures were found to be more accessible to less experienced nurses. In particular, REZUM showed the most significant impact on reducing skill assimilation time. The impact of experience gained was notable for the endoscopic approaches of TURP and HoLEP: experienced surgical nurses were faster in acquiring new skills and setting up the materials needed for the surgical procedure. Considering nursing staff expertise and learning needs in the urologic endoscopy operating room is necessary and desirable because it allows easier and faster learning of new surgical approaches, especially in more complex techniques. Relying on experienced nursing staff is also desirable because it has an impact on overall operating time.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488425","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":"Factors influencing engagement in pelvic floor muscle exercise following radical prostatectomy: A scoping review","authors":"Yousef Qan'ir PhD,&nbsp;Lixin Song PhD, FAAN,&nbsp;Kathleen Knafl PhD, FAAN,&nbsp;Paschal Sheeran PhD,&nbsp;Hung-Jui Tan MD, MSHPM,&nbsp;Mohammed Shahait MD,&nbsp;Ahmad AL-Sagarat PhD","doi":"10.1111/ijun.12412","DOIUrl":"https://doi.org/10.1111/ijun.12412","url":null,"abstract":"<p>Inconsistent engagement in pelvic floor muscle exercise (PFME) among patients with prostate cancer (PC) following radical prostatectomy may have contributed to varying effectiveness in improving urinary incontinence across studies. Identifying factors influencing engagement can help develop effective interventions to maximize participation, enhance urinary function and improve quality of life (QoL). This scoping review aims to systematically search for factors influencing PFME engagement among post radical prostatectomy patients managing urinary incontinence. Eligible publications in English were identified from various databases, including PubMed, CINAHL, ProQuest, PsycINFO and Scopus. A health science librarian was consulted to assist in formulating search terms, encompassing PC, PFME terms and influencing factors terms. We employed Colandrapp™ for data extraction, focusing on key themes such as study characteristics, PFME education and training, recommended sessions, engagement rates and factors influencing PFME engagement following radical prostatectomy. Results were presented in tables and supplemented by a narrative discussion addressing gaps in research knowledge. The synthesis drew from a diverse body of literature, blending quantitative and qualitative approaches, to contribute to a comprehensive understanding of PFME engagement factors. Twelve papers, based on 10 studies published between 2011 and 2018, met our inclusion criteria. The reviewed studies primarily employed longitudinal quantitative designs, except for one study that utilized a mixed-method design. Only three studies incorporated theories to guide the selection of potential factors influencing PFME engagement. The factors examined across the reviewed studies encompassed aspects related to the patient–partner relationship, patient's action control, planning (dyadic or individual), self-efficacy, perceived urinary incontinence and the patient–provider relationship. We observed conflicting findings regarding the factors influencing PFME engagement across studies. Our review underscores the importance of theory-informed studies using rigorous methodology and precise theoretical and operational definitions of potential factors. Such studies can help pinpoint the most influential factors to enhance PFME engagement and, ultimately, improve symptoms and QoL for PC patients. The scoping review also showed critical implications for nursing practice. Nurses should develop individualized and culturally sensitive interventions, integrate health behaviour change theories, assess patient–partner relationships and action control and consider intention's mediating role in the enhancement of PFME engagement following radical prostatectomy.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488616","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":"Nursing care of TURP and hyperglycemia integrating symptoms management model","authors":"Ns. Sumarno Adi Subrata M.Kep., Ph.D,&nbsp;Ns. Robiul Fitri Masithoh M.Kep,&nbsp;Büşra Şahin PhD,&nbsp;Janet L. Kuhnke RN, BA, BScN, MS, NSWOC, FCN, DrPsychology,&nbsp;Khaldoun M. Aldiabat RN, MSN, Ph.D.","doi":"10.1111/ijun.12404","DOIUrl":"https://doi.org/10.1111/ijun.12404","url":null,"abstract":"<p>Transurethral resection of the prostate (TURP) is a surgical procedure often used to treat benign prostatic hyperplasia. TURP often results in multiple symptoms that worsen a patient's condition, such as hyperglycemia. The relationship between TURP and hyperglycemia is not direct, but it is important to consider the potential impact of hyperglycemia on individuals undergoing TURP. The most critical point in the TURP syndrome is early diagnosis and treatment. Nurses should be aware of the symptoms to prevent further outcomes. To optimise the nursing care, integrating of symptoms management model in TURP care is important as it provides a conceptual foundation for understanding patient care, guides clinical decision-making, contributes to evidence-based practice and fosters professional development. Also nurses can deliver high-quality TURP and hyperglycemia care that meets the diverse needs of patients and contributes to positive health outcomes. However, a study describing the symptoms management of patients living with TURP syndrome and hyperglycemia is limited. Therefore, the article aims to explain the management of hyperglycemia among patients after TURP. The findings of this review are expected to help the nurses notice the symptoms and make accurate interventions along with evaluations.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141439562","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":"Effect of orthotopic neobladder reconstruction on quality of life: A systematic review","authors":"Nazife Gamze Özer Özlü RN, PhD,&nbsp;Sevgi Çolak RN,&nbsp;Fatma Vural RN, PhD","doi":"10.1111/ijun.12407","DOIUrl":"https://doi.org/10.1111/ijun.12407","url":null,"abstract":"<p>How does orthotopic neobladder reconstruction in the surgical treatment of bladder cancer patients affect the quality of life? In the literature, the results affecting the quality of life from patient-reported outcome measures in bladder cancer patients who underwent orthotopic neobladder are not fully known. In this systematic review, the effect of orthotopic neobladder reconstruction on the quality of life in patients with bladder cancer is examined. Literature search was conducted within the framework of PRISMA guidelines and PICO. The research question was conducted in line with the core elements of Population, Concept and Context (PCC) proposed by the Joanna Briggs Institute (JBI) methodology. In the study, international studies published in Medline/PubMed, Cochrane, Web of Science, ProQuest and Scopus databases between 2012 and 2022 and accessible with the keywords ‘quality of life, ileal conduit, orthotopic neobladder, and continent diversion’ were reviewed. Methodological evaluation was performed by three independent authors with the JBI checklist. Six cross-sectional studies with 1485 samples and 12 prospective cohort studies with 1555 samples were included in the review. The Cronbach's alpha coefficient of the checklists was 0.98 in cross-sectional studies and 0.97 in prospective cohort studies. In studies, it was observed that the European Organization for Research and Treatment of Cancer-Quality of Life (EORTC-Quality of Life) scale was mostly used in patients' quality of life. In cross-sectional studies, there is no difference in quality of life between orthotopic neobladder and continent diversions, the quality of life related to bowel function is high in orthotopic neobladder, the quality of life related to urinary and sexual function is low, different surgical techniques in orthotopic neobladder do not affect the quality of life between women and men. It was determined that the factors affecting the quality of life were different and that chemotherapy and radiotherapy had different effects on the quality of life. In prospective cohort studies, it was found that comorbid diseases affect the quality of life, but orthotopic neobladder improves the quality of life of patients in the long term, there is no difference in quality of life between incontinent and continent diversions, and orthotopic neobladder has a positive effect on quality of life, especially in women. The studies conducted show that the studies on the quality of life of patients with orthotopic neobladder are limited and studies with strong effect sizes are needed. This review recommends that more studies be conducted to improve the physical-psychological health, social relationships and environmental quality of life of patients with orthotopic neobladder and that support programs be developed for these patients.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141435636","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":"The impact of nine sweeps on preventing prostate cancer and benign prostate hyperplasia","authors":"Hashim Talib Hashim MD,&nbsp;Ali Talib Hashim MD,&nbsp;Jaffer Shah MD,&nbsp;Ameer Almamoury MD,&nbsp;Mustafa Hayder Kadhim MD,&nbsp;Narjiss Aji MD,&nbsp;Adil Alhaideri MD,&nbsp;Maryam Chichah MD,&nbsp;Ahmed Qasim Mohammed Alhatemi MD","doi":"10.1111/ijun.12406","DOIUrl":"https://doi.org/10.1111/ijun.12406","url":null,"abstract":"<p>Benign prostatic hyperplasia (BPH), often known as prostate gland enlargement, is a common disorder in elderly men. The nine sweeps or Istibra, a traditional Islamic habit, has been hypothesized to decrease the risk of prostate diseases. This study aims to investigate the potential preventive effects of Istibra on prostate cancer and BPH among individuals with a positive family history. It is a retrospective cohort study conducted among 215 high-risk people for prostate cancer with positive family history who have been on regular habits of using the nine sweeps (Istibra) for 20 years or more. The data was collected retrospectively and full history was taken from each of the patients. Odds ratios were calculated to evaluate the relationship between Istibra usage and prostate pathologies. The majority of participants had no chronic diseases or exposure to known carcinogens. Most individuals performed Istibra 5–10 times per day for 20 years or more. Despite positive family histories, 82% and 85% of participants were not diagnosed with BPH or prostate cancer, respectively. Istibra may be effective in preventing BPH and prostate cancer among individuals with positive family histories. Further studies with larger samples are warranted to confirm these findings and elucidate the mechanism of action.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141430253","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":"Females have a higher risk of urinary tract infections and experience more worries than males","authors":"Susanne Vahr Lauridsen RN, PhD,&nbsp;Rikke Vaabengaard MSc,&nbsp;R. Zeeberg MSc,&nbsp;Lotte Jacobsen MSc,&nbsp;Sabrina Islamoska MSc, PhD","doi":"10.1111/ijun.12405","DOIUrl":"https://doi.org/10.1111/ijun.12405","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction and Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Evidence shows differences in referral and management patterns for urinary symptoms between sexes, which seem to influence catheterization rates and that females experience more urinary tract infections (UTIs). Using patient-reported data from clean intermittent catheter (CIC) users, we investigated sex differences in UTI symptoms, behaviour when having a UTI, and worries related to UTIs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In March–April 2022, an online survey of 60 questions was distributed among 55 235 CIC users recruited through a customer panel in 11 European countries, Australia, and the United States. Results are based on descriptive analyses presented in proportions and percentages. The participants' data were treated with confidentiality in compliance with the EU General Data Protection Regulation, and the analyses were performed with aggregated anonymous data.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Among 3464 CIC users who responded to the survey, there were 37% females. The four most prevalent urinary problems among females were urinary retention (34%), urinary incontinence (34%), residual urine (32%), and overactive bladder (32%). In addition, among females, 65% had bowel dysfunction, 63% experienced minimum one antibiotic treated UTI within the last year, 53% worried about not emptying their bladder completely, while 71% worried about acquiring a UTI. The overall UTI mean in the study population was 1.88 UTIs/year (95% CI; 1.71–2.07). Females had a 43% higher risk of UTIs compared with males (relative risk: 1.43; 95% CI: 1.26–1.62).&lt;/p&gt;\u0000 \u0000 &lt;p&gt;When having UTIs, there was a significant difference when comparing the reporting of UTI symptoms in females versus males, as females experienced more incontinence (33% vs. 21%), more lower abdominal pain (30% vs. 15%), more discomfort or pain when urinating (41% vs. 31%), discomfort or pain over the kidneys (29% vs. 13%), and less fever (16% vs. 29%). Females also used more supplements (36% vs. 25%), drank more fluid (66% vs. 55%), and took home urine tests (21% vs. 13%).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Findings from this cross-sectional study underline the sex differences in reporting of UTI symptoms, behaviour when having a UTI, and worries related to UTIs. Untreated urinary symptoms may have impactful consequences for health-related quality of life, thus, it is important for nurses to know the sex differences in urinary symptoms to identify any risk of UTIs.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;Implications for nursing practice or research: Our study resu","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141435648","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":"The pivotal role of the robotic nurse in the management of the robotic urologic surgical environment","authors":"Alice Khalil RN,&nbsp;Marisa Bruno RN,&nbsp;Alessandro Spano MSN,&nbsp;Fabrizio Petrone MSN,&nbsp;Edoardo Ghiani RN,&nbsp;Giuseppe Cosma RN,&nbsp;Giuseppe Chiacchio MD,&nbsp;Rocco Simone Flammia MD","doi":"10.1111/ijun.12400","DOIUrl":"https://doi.org/10.1111/ijun.12400","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction and Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Robotic surgery has revolutionized urology. However, upfront costs, time investments and knowledge required to proficiently operate and maintain robotic equipment and supplies often make it advantageous to implement the role of dedicated robotic nurse (DN) teams. Herein, we aimed to investigate the impact of DN on operative times during robotic urological procedures.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We retrospectively identified consecutive robotic uro-oncological procedures performed at our institution from Jan to Oct 2023. The cohort was stratified based on the presence or absence of a DN team (DN vs no-DN). The DN team was defined as having independently managed ≥100 robotic urological procedures. Endpoints were preoperative nursing time (pre-NT), postoperative nursing time (post-NT), surgeon operative time (surg-OT), and total operative time (t-OT). Continuous variables were compared using Student's &lt;i&gt;t&lt;/i&gt;-test. Subgroup analyses were conducted for specific procedures: robot-assisted radical cystectomy (RARC), radical prostatectomy (RARP), partial nephrectomy (RAPN), and radical nephrectomy (RARN).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Overall, 421 procedures were included. The DN group exhibited shorter pre-NT (13.5 vs 23.7, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), post-NT (12.2 vs. 15, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), surg-OT (117 vs. 136, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), and t-OT (143.2 vs. 174.9, &lt;i&gt;p&lt;/i&gt; &lt; 0.001) compared to the no-DN group. Subgroup analysis revealed shorter pre-NT in the DN group for all procedures: RARP (13.2 vs. 23.5, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), RARC (16.4 vs. 29.2, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), RARN (12.6 vs. 18.9, &lt;i&gt;p&lt;/i&gt; &lt; 0.001) and RAPN (12.7 vs. 20.8, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Conversely, DN group exhibited shorter post-NT in RARP (12 vs. 15.8, &lt;i&gt;p&lt;/i&gt; &lt; 0.001) and RARN (12.4 vs. 15.3, &lt;i&gt;p&lt;/i&gt;: 0.01), but not in RARC (13 vs. 15, &lt;i&gt;p&lt;/i&gt;: 0.06) and RAPN (12.2 vs. 12.7, &lt;i&gt;p&lt;/i&gt;: 0.4) subgroup. Similarly, DN group demonstrated shorter t-OT in RARP (162.7 vs. 185.4, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), but not in RARC (232.8 vs. 245, &lt;i&gt;p&lt;/i&gt;: 0.44), RAPN (91.2 vs. 107.4, &lt;i&gt;p&lt;/i&gt;: 0.35) and RARN (118.5 vs. 127.2, &lt;i&gt;p&lt;/i&gt;: 0.4) subgroups. Finally, no differences in surg-OT were recorded between the DN and non-DN groups for any of the individual procedures (Table 1; Figure 1).&lt;/p&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 \u0000 \u0000 \u0000 &lt;header&gt;&lt;span&gt;TABLE 1.\u0000 &lt;/span&gt;Comparison of time per procedures between dedicated and non-dedicated teams.&lt;/header&gt;\u0000 \u0000 \u0000 \u0000 &lt;div&gt;\u0000 &lt;table&gt;\u0000 \u0000 ","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141245599","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":"Balanoposthitis in type 2 diabetes mellitus within a brief duration: A case report","authors":"Kanish Akash Rajkumar PharmD,&nbsp;Kothapalli Nagapavani PharmD,&nbsp;Mudigubba Manoj Kumar PharmD, PhD","doi":"10.1111/ijun.12399","DOIUrl":"https://doi.org/10.1111/ijun.12399","url":null,"abstract":"<p>This case report documents the rapid onset of balanoposthitis in a 58-year-old male patient diagnosed with type 2 diabetes mellitus just 2 weeks prior. The patient presented with acute penile pain, swelling, and purulent discharge, necessitating circumcision due to balanoposthitis and phimosis. The diagnosis of type 2 diabetes mellitus 14 days prior highlights the potential for rapid development of balanoposthitis despite practicing proper hygiene. This underscores the importance of healthcare practitioners proactively examining the penile area in newly diagnosed diabetic patients to prevent balanoposthitis and, conversely, screening patients with balanoposthitis for type 2 diabetes mellitus.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141073697","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}