International Journal of Urological Nursing最新文献

{"title":"A 3-month mark to urinary continence, after robotic radical prostatectomy—Is it possible?","authors":"Tiago Santos MSc, RN, Mário Varandas RN, Daniela Dias MSc, RN, Inês Sousa MSc","doi":"10.1111/ijun.12396","DOIUrl":"https://doi.org/10.1111/ijun.12396","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction and Objectives</h3>\u0000 \u0000 <p>Urinary incontinence (UI) remains a significant concern after radical prostatectomy. As a part of a nursing follow-up, we evaluate quality-of-life (QoL) which includes UI recovery. Patients proposed to Retzius-sparing robot assisted radical prostatectomy (RS-RARP) have a bundle of appointments starting pre-operatively and continuing after surgery 1 week, 1, 3, 6, 9 and 12 months. In these, we started a urinary rehabilitation programme (URP) performing Kegel Exercises, adaptative and behavioural strategies. The objective is to evaluate timeline until urinary continence recovery after RS-RARP, since this is one of the most asked question by our patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Between July 2017 and April 2020 we conducted a prospective observational single-centre study with a total of 208 patients submitted to RS-RARP. We applied the Expanded Prostate Cancer Index Composite-26 (EPIC-26) questionnaire pre and postoperatively at 3, 6, 9 and 12 months, and studied UI by evaluating pad count measured in the 3rd question. The inclusion criteria are: patients that did not have adjuvant or salvage treatments during the follow up; have all pre- and post-operative evaluations; who were continent pre-operatively; and started the URP. A total of 72 patients were included. We have considered the criteria of no pad use for continence recovery. Every patient provided written informed consent for study inclusion, approved by the Institutional Ethics Committee (Approval 07.07.2017).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Preliminary analysis of enrolled patients reveals that 57 (79,16%) recovered continence during the 12 months period. By 3-month mark, we observed that 42 (73,68%) patients were continent; 7 (12,28%) recovered continence at 6-month mark; 4 (7,02%) recovered continence at 9-month mark and 4 (7,02%) recovered continence 1 year after surgery. We further analysed the total number of pads used daily by the 15 patients (20,83%) that had UI at 12-month mark: 13 patients (86,67%) reported using 1 pad a day and 2 patients (13,33% or 2,77% of all studied population) reported using 3 or more pads a day.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The preliminary results demonstrate a gradual improvement in UI over the first year, with a significant number of patients recovering at 3-month mark. These positive results are most probably consequences of both the surgical approach and the URP. Is required a sub-group analysis to further delineate factors impacting continence recovery, aiding in postoperative rehabilitation care plans that will","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140895163","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":"Telehealth-based pre-operative education session for robot-assisted radical prostatectomy patients—A 2-year follow-up study","authors":"Marc Diocera RN, MN (Urology & Continence),&nbsp;Tiphany Catalan RN,&nbsp;Elizabeth Medhurst RN, MN (Cancer Science),&nbsp;Kenneth Chen MBBS (Singapore), MCI (Singapore), MRCS (Edin), FRCS (Glas), FAMS,&nbsp;Declan G. Murphy MB BCh BaO, FRACS, FRCS (Urol)","doi":"10.1111/ijun.12398","DOIUrl":"https://doi.org/10.1111/ijun.12398","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction and Objectives</h3>\u0000 \u0000 <p>As a quality improvement initiative, our institution's pre-operative education program for patients undergoing robotic radical prostatectomy (Robocare) was changed into a telehealth-based program (Tele-Robocare). During the pre-surgery evaluation process, tele-Robocare was deemed useful (92%) and adequate (100%) in addressing pre-operative needs of patients. Follow-up was deemed necessary to compare patient feedback post-surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>2 years since the complete adoption of the Tele-Robocare program in our institution, a follow-up study was conducted on the participants who attended the original quality improvement initiative (<i>n</i> = 147). An 8-question survey was created via Redcap. A survey link was sent to all participants: 144 via email link and 3 via QR code sent via postal mail. All responses were logged onto the Redcap database.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 87 patients (59.2%) completed the survey. 86 patients completed the survey via email link and 1 patient accessed the survey via the mailed QR code.</p>\u0000 \u0000 <p>The percentage of patients who found Tele-Robocare useful in the following sections are: pre-surgery preparation (90%), discharge care (89%), catheter care (82%), follow-up (93%), troubleshooting (80%).</p>\u0000 \u0000 <p>When asked about what should remain as a part of the program handout and presentation, the findings were similar: pre-surgery preparation (94%), hospital stay information (92%), discharge information (93%), follow-up (90%), access to allied health (90%). The most requested topics that needed additional emphasis were sexual health (<i>n</i> = 5) and impact on mental health (<i>n</i> = 3).</p>\u0000 \u0000 <p>78% agree or strongly agree that telehealth was sufficient in receiving patient education programs such as Tele-Robocare. The most common advice from patients (<i>n</i> = 25) to improve the patient experience and sense of preparedness was to actively seek additional information from the healthcare team, patients and/or patient advocates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Tele-Robocare is now the standard method in delivering pre-prostatectomy patient education in our institution. However, these follow-up findings highlight the importance of sufficient follow-up and support of patients after surgery as their needs change along with their recovery and outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140895165","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":"Assessing vacuum erectile devices effect on post-radical prostatectomy erectile function","authors":"Mário Varandas RN,&nbsp;Tiago Santos MSc, RN,&nbsp;Daniela Dias MSc, RN,&nbsp;Inês Sousa MSc","doi":"10.1111/ijun.12397","DOIUrl":"https://doi.org/10.1111/ijun.12397","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction and Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Radical prostatectomy, as a treatment for prostate cancer, could lead to erectile dysfunction (ED) which affects the sexuality of patients and may have significant psychological impact and in quality of life. Vacuum erectile devices (VED) have emerged as a non-invasive solution to aid post-prostatectomy ED recovery. This study aims to assess the gains in erectile function (EF) with VED usage in patients submitted to Retzius-sparing robot assisted radical prostatectomy (RS-RARP) at 6- and 12-months post-surgery.&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;Between January 2022 and September 2022 our center performed 46 RS-RARP, these patients had pre- and post-operative evaluations every 3 months during the first-year post-surgery, led by urology nursing team. If ED was identified and/or patient reported intention to improve EF a penile rehabilitation programme (PRP) that included VED usage was recommended. We conducted a prospective observational single-center study where EF was assessed using the International Index of Erectile Function (IIEF-5) at 6- and 12-months post-surgery. We compared the results of patients that had IIEF-5 score &lt;15 at 6-month mark and started using VED, with IIEF-5 score at 12-month mark. The inclusion criteria are: patients that did not have adjuvant or salvage treatments during the follow up; have post-operative evaluations with IIEF-5 at 6 and 12 months and started PRP. A total of 43 patients were included. We have considered ED rehabilitation if the patient had at least 5 points gain on IIEF-5 score at 12 months versus IIEF-5 at 6 months. Every patient provided written informed consent for study inclusion, approved by the Institutional Ethics Committee (Approval 07.07.2017).&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;From the total of patients included, 22 had an IIEF-5 score &lt;15 at 6-month mark. We recommended VED to 7 patients and 4 used a VED regularly. Regarding patients that used VED, 3 had better IIEF-5 score at 12-month mark comparing to 6-month mark, with an average gain of 7,75 in IIEF-5 score. Regarding the total of patients (&lt;i&gt;n&lt;/i&gt; = 43), 16 still had IIEF-5 score &lt;15 at 12-month mark.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This observational study underscores the potential benefits of VED in aiding EF recovery post RS-RARP. Regular use of VED demonstrated significant improvement in IIEF-5 score at 12-month mark. Our findings suggest that integrating VED into the post RS-RARP rehabilitation care plan could serve as an effective strategy for patients that do not respond effectively to phosphodieste","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140895164","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":"Advanced practice nursing in the field of pelvic floor disorder – Lessons learned 5 years after role implementation","authors":"Jennifer Enaux MSc,&nbsp;Manuela Ortner MSc, MBA,&nbsp;Andrea Kobleder PhD,&nbsp;Christiane Knecht PhD","doi":"10.1111/ijun.12395","DOIUrl":"https://doi.org/10.1111/ijun.12395","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Pelvic floor disorder is a widespread chronic disease that confronts patients with a variety of physical and psychosocial challenges. An interprofessional team from a hospital region of eastern Switzerland created a specialized health service for this patient population and expressed the need for support by an APN to further develop interprofessional care. A retrospective look, 5 years after the role was implemented, reveals success factors, challenges and insights that can be utilized for similar and future projects.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method and Analysis&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In 2018 and 2019, a stakeholder-oriented, participatory evaluation research was conducted to shape the role of the APN in the field of pelvic floor disorders. Ten interviews with internal and external experts in the field of pelvic floor disorder were analysed by thematic qualitative text analysis according to Kuckartz. A comparison between the original and the current profile illustrates its further development. Internal controlling shows the workload and number of patient contacts over the years 2018 to 2023. From a management perspective, the organizational and professional policy challenges are highlighted.&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;In 2018, the APN's scope of practice was described in eight areas, which were assigned to four APN competencies: direct clinical practice, collaboration, counselling, and evidence-based practice. In 2022, 1211 different patient cases were treated in 1956 APN consultations. 64% of patients were women with interstitial cystitis. The focus was on direct clinical practice along the entire treatment pathway. The APN is predominantly the first and ongoing point of contact and coordinator of interprofessional treatment. The APN focuses on counselling and educating patients and their relatives, in particular on self-management, for example, on the use of aids and the importance of self-care. The number and complexity of the diagnostic and treatment interventions carried out by the APN have increased and are supported by expanding and extending competencies. The difficulty of recruiting nurses with a Master's degree, the legally unclear competence profile of APNs and the lack of cost coverage for APN services posed challenges in the development of this patient-centred care model and required innovative solutions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The initially assumed scope of practice of the APN is still evident 5 years after implementation but is constantly evolving. Although delegated medical activities are carried out by the APN, the focus remains on the or","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140556145","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":"Urinary catheterisation among nurses in Sweden: A survey on routines and guideline adherence","authors":"Manuel Luque González RN,&nbsp;Clara Armas Moreno BSc,&nbsp;Max Mòdol Vidal MSc,&nbsp;Szilvia Endrényi MEc,&nbsp;Pedro Raúl Castellano Santana PhD, RN,&nbsp;Carmen Muñoz Calahorro PhD,&nbsp;Marta Serrano Muñoz PhD,&nbsp;Tiago Santos RN, MSc","doi":"10.1111/ijun.12394","DOIUrl":"https://doi.org/10.1111/ijun.12394","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;Bladder catheterisation is a common and invasive procedure with guidelines that can prevent or minimize associated complications. However, healthcare workers often do not follow these guidelines. Healthcare systems' strategies, policies and practices which support quality of care could affect the level of guideline adherence. This could be explored by studying adherence in a high-performing healthcare system with extensive monitoring of health outcomes, such as Sweden. Moreover, there is a lack of relevant literature about the knowledge, attitudes and practices of healthcare workers regarding CAUTI. This study therefore aims to investigate how nurses in Sweden perform bladder catheterisation and identify potential ways to improve adherence to guidelines in order to decrease complications.&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;A cross-sectional survey was performed between the 21st and 29th of May 2020. A survey including questions on supervision during bladder catheterisation, maintenance of sterility, accidental urine spillage, and potential advantages of a urinary catheter with an integrated valve was distributed through social media channels to Swedish nurses. Participants were anonymous and no personal data was collected. The data was tabulated and analysed using descriptive statistics (Microsoft Excel).&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;A total of 910 nurses responded to the survey. Respondents worked across several settings, and 76.1% worked within surgical, internal medicine, prehospital, geriatrics or primary care clinics. Respondents had various levels of experience in placing catheters, with 40.3% having inserted less than 50 catheters, and 31.5% having inserted more than 100.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;54.9% reported that someone had checked that they followed guidelines during catheter insertion. A majority (66.5%) either often or sometimes received assistance during insertion, with only 9.3% always receiving help. Only 9.9% reported always being able to maintain sterility during insertion.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;58.6% reported inadvertently spilling urine on the material (protective sheet, diaper) 1–5 times during their last 10 catheter insertions, 24.8% reported spilling on the bed or linen, and 15.7% on themselves, the patient or other healthcare staff.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;When asked about the potential advantages of a urinary catheter with an integrated valve, the most significant advantage cited was the reduced risk of urine leakage (63%), followed by the absence of stress from not having to connect a urine bag or plug (52.1%). 96% of respondents see at least one advantage in su","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140556263","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":"Unmasking the unexpected: Testicular tumour uncovered as a result of scrotal trauma","authors":"Ahmet Burak Yilmaz MD,&nbsp;Ali Kaan Yildiz MD,&nbsp;Nuran Sungu MD,&nbsp;Bugra Bilge Keseroglu MD","doi":"10.1111/ijun.12393","DOIUrl":"https://doi.org/10.1111/ijun.12393","url":null,"abstract":"<p>We present a case of a 17-year-old male with a testicular tumour diagnosed after trauma. A 17-year-old male patient came to our clinic with swelling in the right hemiscrotum. The patient had a history of right scrotal blunt trauma 3 weeks before the admission and had no history of urological surgery or chronic disease. The patient doesn't use tobacco, alcohol, or illicit drugs. Genitourinary system examination revealed swelling and tenderness on palpation in the right hemiscrotum. The right testicle was not palpable. The left hemiscrotum was normal. The left testicle had a normal size and shape. Testicular tumour markers were high (AFP:196 μg/L (<i>N</i>: 0–8 μg/L), b-HCG: 916 mIU/mL (<i>N</i>: &lt;10 mIU/mL), LDH: 364 U/L (<i>N</i>: 0–265 U/L). Scrotal ultrasonography and magnetic resonance imaging revealed that there were areas of 9 × 9 × 11 cm in size of the right scrotal region without viable testis tissue, hematoma area, and areas compatible with necrosis. These findings were related to intratesticular rupture due to trauma. Abdominal tomography revealed lymphadenopathies of approximately 6 × 3 cm in the anterior paracaval area and approximately 4 × 3 cm in the anterior aspect of the psoas muscle. We performed right radical inguinal orchiectomy on the patient. Testicular tumour markers were still high on the 8th postoperative day (AFP:120 μg/L (<i>N</i>: 0–8 μg/L), bHCG: 680 mIU/mL (<i>N</i>: &lt;10 mIU/mL), LDH: 200 U/L (<i>N</i>: 0–265 U/L)). The testicular tumour was diagnosed as mixed germ cell tumour (50% Yolk Sac, 30% Embryonal Carcinoma, 20% Teratoma). The tumour diameter was 9 cm, surgical margins were intact, there was rete testis invasion, and no tumour was detected in the tunica vaginalis. No tumour invasion was seen in the soft tissue around the spermatic cord (pT2). The patient received 3 cycles of chemotherapy with bleomycin, etoposide, and cisplatin. We suggest that patients presenting with scrotal trauma should be carefully evaluated for testicular malignancy, and if malignancy is suspected, radical inguinal orchiectomy should be preferred for the operation.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140291366","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 effect of preoperative oral hygiene on postoperative infections after cystectomy and urethroplasty—A quasi-experimental study","authors":"Linnea Samsø Bavnhøj MD,&nbsp;Beritt Bach Pedersen RN, MCN,&nbsp;Henriette Jensen RN, MCN,&nbsp;Lone Jørgensen RN, PHD,&nbsp;Niels Henrik Bruun MSc,&nbsp;Lotte Sander MD, PHD","doi":"10.1111/ijun.12392","DOIUrl":"https://doi.org/10.1111/ijun.12392","url":null,"abstract":"<p>Research has demonstrated that systematic preoperative oral hygiene reduces nosocomial infections after elective thoracic surgery. However, the impact of preoperative oral hygiene on patients undergoing urologic procedures is unknown. Therefore, the aim of this study was to investigate the effects of systematic preoperative oral hygiene on prescriptions with antibiotics following cystectomy or urethroplasty. A quasi-experimental study design included all patients undergoing elective radical cystectomy or urethroplasty from 1 January 2018 to 31 May 2021. Patients undergoing cystectomy or urethroplasty were grouped into a prospective intervention group and a retrospective control group. Patients in the intervention group were admitted from 1 January 2020 to 31 May 2021, and were recommended to brush their teeth and rinse their mouths with chlorhexidine gluconate 0.12% four times a day starting 2 days before surgery and continuing until the morning of the operation. Patients admitted from 1 January 2018 to 31 December 2019 received no oral hygiene recommendations and were used as a retrospective control group. Data on oral hygiene performance were self-reported and collected at admission and data on prescription of antibiotics were collected through the patients' records. The relative risk was calculated to report the effect of the intervention. In total, 39 patients with cystectomy were in the intervention group, whereas 31 were in the control group. For patients having urethroplasty, 27 were in the intervention group and 98 were in the control group. The effect of oral hygiene on the prescription of antibiotics for patients who completely adhered to the oral hygiene recommendations showed a relative risk of 0.554 (95% CI 0.333–0.921) <i>p</i> = 0.02 for cystectomy and 0.825 (95% 0.308–2.209) <i>p</i> = 0.70 for urethroplasty. This study showed a statistically significant reduction in the prescription of antibiotics following oral hygiene recommendations for patients undergoing cystectomy. However, no statistically significant effect was demonstrated for patients undergoing urethroplasty. Despite this result, it seems important to be aware of oral hygiene in patients undergoing surgery to potentially reduce the number of infections and the use of antibiotics because of the antimicrobial resistance that the healthcare system faces.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140209658","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":"Clarifying practical aspects of posterior tibial nerve stimulation for neurogenic overactive bladder: A scoping review","authors":"Stefano Terzoni PhD, MSN, RN,&nbsp;Paolo Ferrara PhD, MSN, RN,&nbsp;Marianna Di Schiena RN,&nbsp;Cristina Mora RN,&nbsp;Mauro Parozzi MSN, RN, PhD Stud,&nbsp;Barbara Pinna MSN, RN,&nbsp;Giulia Villa PhD, MSN, RN,&nbsp;Bernardo Rocco MD,&nbsp;Chiara Sighinolfi PhD, MD,&nbsp;Giorgia Gaia MD,&nbsp;Serena Maruccia MD,&nbsp;Margarita Afonina MD,&nbsp;Anne Lucie Destrebecq MSN, RN","doi":"10.1111/ijun.12389","DOIUrl":"https://doi.org/10.1111/ijun.12389","url":null,"abstract":"<p>Patients with neurological diseases often suffer from overactive bladder. Posterior tibial nerve stimulation is mentioned in guidelines as a treatment when antimuscarinics fail or cannot be tolerated by patients, but the evidence is scant. This article summarizes the evidence on the practical aspects of tibial nerve stimulation for neurogenic overactive bladder (NOAB), such as electrical parameters and treatment duration, and identifies areas requiring further investigation. Scoping review. Literature search on PubMed, CINAHL, and Cochrane Library, including studies from 2010 to 2024 regarding tibial nerve stimulation for NOAB. Sixteen papers were considered: seven on transcutaneous tibial nerve stimulation (TTNS), seven on percutaneous tibial nerve stimulation (PTNS) and two protocols. Most studies enrolled neurological and non-neurological patients or studied non-randomized samples of a few patients. Clinical outcomes, treatment duration, number of sessions, and follow-up times showed considerable heterogeneity, but some practical recommendations could be drawn. For PTNS, most authors suggest using 20 Hz and 200 μs, but the amplitude is highly variable among studies. For TTNS, 10 Hz and 200 μs are suggested, with considerable variability in the number of sessions and overall treatment duration. Most papers propose similar criteria regarding the frequency and duration of the stimulation, and all of them support the efficacy of tibial nerve stimulation, except for one. The areas requiring research include long-term results, allowing for shaping adequate maintenance programmes to avoid losing the results achieved.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139942863","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":"Quality of life and influencing factors in older adults with benign prostatic hyperplasia","authors":"Chen-ke Wang MD,&nbsp;Jin-hua Zhang PhD,&nbsp;Yang Gao MD,&nbsp;Xin-yu Meng MD,&nbsp;Hong-xia Zhang MD,&nbsp;Huan-huan Luo MD","doi":"10.1111/ijun.12391","DOIUrl":"https://doi.org/10.1111/ijun.12391","url":null,"abstract":"<p>The aim of this study was to investigate the relationship between the quality of life (QoL) and self-efficacy in older adults with benign prostatic hyperplasia (BPH), as well as the factors affecting their QoL. Previous research has shown that self-efficacy is one of the factors affecting the QoL of individuals. Diminished self-efficacy can impair cognitive and behavioural function, while heightened self-efficacy can drive changes in treatment acceptance behaviour and, subsequently, physical and mental health. Although past research has investigated QoL among patients with BPH, no known studies have investigated the impact of self-efficacy on QoL, specifically among the Chinese aged population who may have a different disease status. The study followed a cross-sectional design and included 372 older adults with BPH. The Chinese version of the Benign Prostatic Hyperplasia QoL Scale (BPH-QLS), the Chinese version of the Self-rated Abilities for Health Practices Scale (SRAHP) and General Survey Questionnaire were used. One-way ANOVA and multiple regression analysis were employed to identify factors influencing QoL and evaluate the relationship between self-efficacy and QoL. The results indicated a positive correlation between QoL and self-efficacy. Educational level, sexual intercourse, disease duration, marital status, monthly family income and self-efficacy were identified as factors influencing QoL in older adults with BPH. Multiple linear regression analysis revealed that self-efficacy for health responsibility had the most significant impact on QoL scores. To enhance QoL in older adults with BPH, active measures are needed. Future studies should focus on intervention programmes that target self-efficacy, which is a modifiable factor with significant potential for improvement.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139942866","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":"Sexuality in penile cancer survivors: A rarely discussed problem in uro-oncology","authors":"Hilary Mosquera Angulo MD,&nbsp;Daniel Andrés Nieva-Posso BSc, MD,&nbsp;Herney Andrés García-Perdomo MD, MSc, EdD, PhD, FACS","doi":"10.1111/ijun.12390","DOIUrl":"https://doi.org/10.1111/ijun.12390","url":null,"abstract":"<p>Sexuality in cancer patients is a complex area. It is estimated that 81% of patients with urological cancer develop problems in their sexual functionality, even from the moment of diagnosis and aggravated during treatment due to direct injury to the genitalia. Currently, there are few avenues of care within the field of urology that address sexual health and quality of sexual life in penile cancer survivors, which causes many of them to lose self-esteem and have problems with their partners. To review the literature on what are the consequences on the sexual life of penile cancer survivors in terms of their performance, including risk factors associated with penile cancer and what are the alternatives they must recover their sexual life. Most penile cancer survivors develop alterations in sexual performance and functionality, such as loss of sexual interest, dysfunctional ejaculation, and loss of orgasm, increasing the risk of depression and anxiety. Sex therapy is presented as an alternative to improve the quality of life of these patients, proposing sexuality as something more than genitalia and helping to lead a better life. Sex therapy is an alternative and should be contemplated in the therapeutic plan of patients with urological cancer, especially penile cancer, since sexuality is part of an individual's life, and its loss affects the quality of life.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139942864","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}